Provider Demographics
NPI:1427263367
Name:JAIN, PAUL ATUL (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ATUL
Last Name:JAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3200 4TH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-5716
Mailing Address - Country:US
Mailing Address - Phone:619-293-3994
Mailing Address - Fax:
Practice Address - Street 1:3838 CAMINO DEL RIO N STE 240
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1763
Practice Address - Country:US
Practice Address - Phone:619-880-8844
Practice Address - Fax:619-880-8566
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2022-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA100420207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine