Individual
DR. SHASHI B JAIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
630 E RIVER ST, 4TH FLOOR PATH DEPT, ELYRIA, OH 44035-5902
(440) 329-7656
Mailing address
PO BOX 385, LORAIN, OH 44052-0385
(800) 841-4236
(706) 653-0615
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35069279
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2224131
—
OH
Enumeration date
05/10/2006
Last updated
02/19/2020
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