Individual
KAVISHA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-7000
Mailing address
PO BOX 689, CATAULA, GA 31804-0689
(404) 514-5675
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
75557
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
10/27/2023
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