Individual provider · Type 1 NPI

Shashank Jain, MD

Student in an Organized Health Care Education/Training Program · New Haven, CT

NPI number 1174865653 Active

Practice location

20 York St
New Haven, CT 06510

Call (203) 688-4242 Map

Mailing address

20 York St Dept Of
New Haven, CT 06510-3220

Other practice locations

  • 150 Bergen St, Room I-248, Newark, NJ 07103-2496 · (973) 972-6056
  • 150 Bergen St, Room I-248, Newark, NJ 07103-2496 · (973) 972-6056

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X277768 (MA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174865653

Shashank Jain, MD's National Provider Identifier is 1174865653, issued on Mar 21, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Haven, CT. The record was last updated on Jun 12, 2019.