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Individual

JAISINGH RAJPUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14 MITYLENE PARK LN, MONTGOMERY, AL 36117-7306
(334) 612-7014
(186) 653-8547
Mailing address
14 MITYLENE PARK LN, MONTGOMERY, AL 36117-7306
(205) 253-3981

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34893
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1770987943
VIVA, MEDICAID AND OTHERS
AL
05
1770987943
AL
Enumeration date
10/17/2014
Last updated
01/05/2026
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