- Practice location
- 163 Van Buren RD, Caribou, ME 04736-3567
- Phone
- 214-648-3538
- Fax
- —
- Last updated
- June 9, 2022
Jyotibala Jain is a Student in an Organized Health Care Education/Training Program based in Caribou, ME. Jyotibala Jain practices in Caribou, ME and has the professional credentials of MD. The NPI Number for Jyotibala Jain is 1609252808 and holds a License No. 590833 (TX). The current practice location address for Jyotibala Jain is 163 Van Buren RD, Caribou, ME 04736-3567 and can be reached out via phone at 214-648-3538.
Provider Profile Details
- NPI Number
- 1609252808
- Provider Name
- Jyotibala Jain
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 163 Van Buren RD, Caribou, ME 04736-3567
- Phone Number
- 214-648-3538
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 11, 2015
- Last Update Date
- June 9, 2022
- Certification Date
- June 9, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 163 Van Buren RD
Caribou, ME 04736-3567 - City
- Caribou
- State
- Maine
- Zip
- 04736-3567
- Phone Number
- 214-648-3538
Provider Business Mailing Address Details
- Address
- 1935 Medical District Dr
Dallas, TX 75235-7701 - City
- Dallas
- State
- TX
- Zip
- 75235-7701
License Information
- License Number (1)
- 590833
- License State (1)
- TX
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
- License Number (2)
- MD25067
- License State (2)
- ME
- Taxonomy (2)
- Pediatrics · 208000000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near Caribou, ME
View all Student in an Organized Health Care Education/Training Program providers in Caribou →- Dr. Chaya M Karunasiri, MDStudent in an Organized Health Care Education/Training Program · NPI 1316681505
- Cindy M Barker, MSW-CCSocial Worker, Clinical · NPI 1174879985
- Renee Felini, LMSWCCSocial Worker · NPI 1295647444
- Anna M Hale, LCSWSocial Worker, Clinical · NPI 1023290244
- Marissa Brouette-Keiser, LCPCCCCounselor · NPI 1194637348
- Alexander R Bolton, DOHospitalist · NPI 1639581127
Frequently Asked Questions
What is the NPI number of Jyotibala Jain, MD?
The NPI number of Jyotibala Jain, MD is 1609252808. It was assigned on August 11, 2015 and is currently active in the NPPES registry.
What is the specialty of Jyotibala Jain, MD?
Jyotibala Jain, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in TX under license number 590833.
Where does Jyotibala Jain, MD practice?
The practice location is 163 Van Buren RD, Caribou, ME 04736-3567. The office can be reached at 214-648-3538 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609252808 directly on the NPPES registry website.