SANJAY JAIN


Address: 510 E Stoner Ave, Primary Care (110), Shreveport, LA 71101-4243
Phone: 3182218411

SANJAY JAIN (NPI# 1003827213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003827213
Entity Type Individual
Full Name SANJAY JAIN
Practice Address 510 E Stoner Ave
Primary Care (110)
Shreveport
LA 71101-4243
Mailing Address 302 Peach Dr
Shreveport
LA 71106-7635
Practice Telephone 3182218411
Mailing Telephone 3187981131
Enumeration Date 2006-08-11
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 036163 CT Allopathic & Osteopathic Physicians

Other Providers SANJAY JAIN

NPI Name Taxonomy Address Enumeration
1578504817 Sanjay K. Jain Internal Medicine 4402 Churchman Ave Ste 408, Louisville, KY 40215-3102 2006-06-09
1447743109 Sanjay Sureshchandra Jain Pharmacist 11801 N Saginaw St, Mount Morris, MI 48458-1503 2018-06-07
1114453842 Sanjay Kumar Jain Family Medicine 17512 Dona Michelle Dr Ste 5, Tampa, FL 33647-3265 2017-05-01
1790050052 Sanjay Jain Radiology 6431 Fannin, Suite Msb 2.116, Houston, TX 77030-5389 2012-03-19
1306988290 Sanjay K. Jain Psychiatry & Neurology 26619 Union Tpke, New Hyde Park, NY 11040-1426 2007-02-14
1033145974 Sanjay Jain Internal Medicine 660 S Euclid Ave, Campus Box 8015, Saint Louis, MO 63110-1010 2006-06-23
1063455780 Sanjay K Jain Family Medicine Panther Valley Mall, Bldg B, Route 517, Hackettstown, NJ 07840 2006-06-13
1619919750 Sanjay Raj Jain Internal Medicine 34 Upper Riverdale Rd Se, Suite 200, Riverdale, GA 30274-2635 2006-06-12
1417996190 Sanjay Jain Pediatrics 600 N Wolfe St, Baltimore, MD 21287-0005 2006-06-06
1730130105 Sanjay K Jain Radiology 1150 Varnum St Ne, Washington, DC 20017-2104 2006-05-12

Office Location

Street Address 510 E STONER AVE
PRIMARY CARE (110)
City SHREVEPORT
State LA
Zip Code 71101-4243

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427056456 Philip Assaad Haddad Internal Medicine 510 E Stoner Ave, Shreveport, LA 71101-4243 2005-07-13
1124627344 Tiffany Knesha Williams Social Worker 510 E Stoner Ave, Shreveport, LA 71101-4243 2020-10-19
1255938882 Michael Phillip Parrott Registered Nurse 510 E Stoner Ave, Shreveport, LA 71101-4243 2020-10-06
1013524222 Brittany Hawkins Dietitian, Registered 510 E Stoner Ave, Shreveport, LA 71101-4243 2020-09-30
1598376873 Martha Stevens Dietitian, Registered 510 E Stoner Ave, Shreveport, LA 71101-4243 2020-08-11
1609491844 Kenneth Charles Sweatman Jr. Registered Nurse 510 E Stoner Ave, Shreveport, LA 71101-4243 2020-06-13
1528682663 Ashley Nicole Denbrock Registered Nurse 510 E Stoner Ave, Shreveport, LA 71101-4243 2020-06-04
1154941227 Angel Escobedo Registered Nurse 510 E Stoner Ave, Shreveport, LA 71101-4243 2020-04-19
1679116784 Allisyn Steele Registered Nurse 510 E Stoner Ave, Shreveport, LA 71101-4243 2019-10-21
1811530926 Comis Waddell Registered Nurse 510 E Stoner Ave, Shreveport, LA 71101-4243 2019-10-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255988630 Renee Jewitt Case Manager/Care Coordinator 1513 Line Avenue, Suite 225, Shreveport, LA 71101 2019-08-21
1942770094 Bessie Larry Case Manager/Care Coordinator 1513 Line Av, 222, Shreveport, LA 71101 2018-12-03
1750875944 Jarvis Decarleonne Larry Community Health Worker 1513 Line Ave # 222, Shreveport, LA 71101 2018-06-20
1871083485 Kimberly B. Mcclelland, Lcsw Counselor 820 Jordan St. Ste 510w, Shreveport, LA 71101 2018-05-18
1982106456 Hudson Amc LLC Internal Medicine 1800 Irving Place, Shreveport, LA 71101 2018-03-01
1528572955 Spencer Ron Floyd Counselor 1717 Marshall Street, Shreveport, LA 71101 2017-11-21
1578088076 Brittany Morris Case Manager/Care Coordinator 1835 Spring Street Annex Building, Shreveport, LA 71101 2017-08-07
1275058794 Diane Williams Case Manager/Care Coordinator 217 Jones St Apt 510, Shreveport, LA 71101 2017-08-04
1386195972 Jakeya Woodbury Counselor 453 Stoner Ave, Shreveport, LA 71101 2016-10-18
1922459643 Arlene Huling Counselor 449 Egan Street, Shreveport, LA 71101 2016-06-23
Find all providers in zip 71101

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790315026 Cody Tingle Md LLC Internal Medicine 535 Pierremont Rd, Shreveport, LA 71106-2207 2020-01-26
1538654306 Masri Group LLC Internal Medicine 3801 Creswell Ave Unit 19, Shreveport, LA 71106-1257 2018-06-25
1982106456 Hudson Amc LLC Internal Medicine 1800 Irving Place, Shreveport, LA 71101 2018-03-01
1760923064 Martin Marak Internal Medicine 847 Prospect St, Shreveport, LA 71104-3025 2017-03-20
1265883482 Vari LLC Internal Medicine 506 Rock Hollow Dr, Shreveport, LA 71115-2502 2016-06-29
1598140121 Mihir V Patel Md LLC Internal Medicine 9930 Loveland Ct, Shreveport, LA 71106-7795 2015-07-24
1619357209 Chad Michael Gibson Internal Medicine 8001 Youree Dr Ste 4007, Shreveport, LA 71115-2302 2015-06-09
1265829394 Amanda Lynn Callegan-poche' Internal Medicine 1023 Provenance Pl Ste 130, Shreveport, LA 71106-7796 2015-04-15
1699017681 Deanna Elise Mossallati Internal Medicine 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 2013-03-18
1477807980 Ronald Baylis George Internal Medicine 1821 Willow Point Drive, Shreveport, LA 71119 2012-11-06
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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