DR. SANJAY RAJ JAIN (NPI# 1619919750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619919750 |
Entity Type | Individual |
Full Name | DR. SANJAY RAJ JAIN |
Other Name | DR. SANJAY RAJ JAIN |
Credential | MD,PHD |
Practice Address |
34 Upper Riverdale Rd Se Suite 200 Riverdale GA 30274-2635 |
Practice Telephone | 7709960622 |
Practice Fax Number | 7709961492 |
Mailing Telephone | 7709960622 |
Mailing Fax Number | 7709961492 |
Enumeration Date | 2006-06-12 |
Last Update Date | 2013-06-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
047455 | GA | Allopathic & Osteopathic Physicians |
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
227047 | MA | Allopathic & Osteopathic Physicians |
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 |
1003827213 | Sanjay Jain | Internal Medicine | 510 E Stoner Ave, Primary Care (110), Shreveport, LA 71101-4243 | 2006-08-11 |
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 |
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 |
Street Address |
34 UPPER RIVERDALE RD SE SUITE 200 |
City | RIVERDALE |
State | GA |
Zip Code | 30274-2635 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831192236 | Satyanarayan K Reddy | Internal Medicine | 34 Upper Riverdale Rd Se, Ste 200, Riverdale, GA 30274-2620 | 2005-05-31 |
1326258054 | Peter K Lee Md PC | Internal Medicine | 34 Upper Riverdale Rd Se, Suite 100a, Riverdale, GA 30274-2635 | 2007-05-23 |
1669533568 | Atlanta South Endoscopy Center LLC | Clinic/Center | 34 Upper Riverdale Rd Se, Suite 201, Riverdale, GA 30274-2635 | 2006-12-13 |
1114085941 | Andre St. Clair Stuart | Family Medicine | 34 Upper Riverdale Rd Se, Suite 100 A, Riverdale, GA 30274-2635 | 2006-12-05 |
1770641953 | Mark Edward Couch | Nurse Practitioner | 34 Upper Riverdale Rd Se, Suite 100a, Riverdale, GA 30274-2635 | 2006-12-04 |
1871675470 | Southern Regional Accident & Injury Inc. | Chiropractor | 34 Upper Riverdale Rd Se, Suite 100d, Riverdale, GA 30274-2635 | 2006-10-20 |
1023104379 | New Hope Urgent Care of Clayton | Clinic/Center | 34 Upper Riverdale Rd Se, Suite 100-h, Riverdale, GA 30274-2635 | 2006-10-05 |
1780629519 | Akinwole A Awujo | Internal Medicine | 34 Upper Riverdale Rd Se, Suite 200, Riverdale, GA 30274-2635 | 2006-06-17 |
1912900937 | Palamalai Mahizhnan | Internal Medicine | 34 Upper Riverdale Rd Se, Ste 200, Riverdale, GA 30274-2620 | 2005-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
Find all providers in zip 30274 |
Taxonomy Code | 207RH0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology |
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457827214 | Nicki Panoskaltsis | Internal Medicine | Winship Cancer Institute 1365 Clifton Road, Atlanta, GA 30322-0001 | 2018-10-19 |
1215349964 | Bassel Nazha | Internal Medicine | 550 Peachtree St Ne Ste 1820, Atlanta, GA 30308-2263 | 2014-05-29 |
1013922863 | William G. Blum | Internal Medicine | 1365 Clifton Rd Ne Bldg C, Atlanta, GA 30322-1280 | 2006-07-30 |
1134106503 | Lijo Simpson | Internal Medicine | 7813 Spivey Station Blvd, Suite 210, Lake Spivey, GA 30236-2900 | 2005-12-28 |
1942847587 | Nour Majed Moukalled | Internal Medicine | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-12-02 |
1386041903 | Imre Bodo | Internal Medicine | 5665 Peachtree Dunwoody Rd, Suite 150, Atlanta, GA 30342-1764 | 2014-11-25 |
1144663188 | Lorraine Alfaro Cafuir | Internal Medicine | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2013-04-09 |
1285990309 | Nisha Sara Joseph | Internal Medicine | 69 Jesse Hill Jr Dr Se, Atlanta, GA 30303 | 2012-04-03 |
1447542394 | Medical Oncology LLC | Internal Medicine | 1348 Walton Way Ste 6700, Augusta, GA 30901-5111 | 2011-05-11 |
1497045553 | Andrew T Johnson | Internal Medicine | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 2011-04-11 |
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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.