Individual
SANDIP JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 PATEWOOD DR, SUITE B350, GREENVILLE, SC 29615-3593
(864) 454-4500
(864) 454-4505
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
31917
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319177
—
SC
01
—
P00786464
RR MEDICARE
SC
Enumeration date
11/22/2006
Last updated
10/01/2012
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