Individual
PRIYA JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 SOUTHERN BLVD STE 401, KETTERING, OH 45429-1265
(855) 500-2873
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.083711
OH
207RH0003X
Hematology & Oncology Physician
35083711
OH
207RX0202X
Medical Oncology Physician
Primary
35083711
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2543886
—
OH
Enumeration date
10/05/2006
Last updated
08/27/2024
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