Provider Demographics
NPI:1982775417
Name:JAIN, AVNI (MD, MBBS)
Entity type:Individual
Prefix:DR
First Name:AVNI
Middle Name:
Last Name:JAIN
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Gender:F
Credentials:MD, MBBS
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Mailing Address - Street 1:19735 GERMANTOWN ROAD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874
Mailing Address - Country:US
Mailing Address - Phone:301-972-6444
Mailing Address - Fax:301-972-0938
Practice Address - Street 1:19735 GERMANTOWN ROAD
Practice Address - Street 2:SUITE 310
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874
Practice Address - Country:US
Practice Address - Phone:301-972-6444
Practice Address - Fax:301-972-0938
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2017-03-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN49157207Q00000X
MDD0073580207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine