Individual
PANKAJ M JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
32772
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11266362
CAQH
AZ
01
—
7346552
AETNA
AZ
01
—
7755462
CIGNA
AZ
05
—
869117
—
AZ
01
—
AZ0760380
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
02/11/2006
Last updated
03/07/2025
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