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Individual

KIRAN A JAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1213 SOUTHFIELD CT, DAVIS, CA 95616-5727
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, STE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A44854
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A44854
STATE MEDICAL LICENSE
CA
Enumeration date
01/04/2006
Last updated
03/07/2023
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