Provider Demographics
NPI:1588711022
Name:JAIN, SHAILINI PARIKH (MD)
Entity type:Individual
Prefix:DR
First Name:SHAILINI
Middle Name:PARIKH
Last Name:JAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:SHAILINI
Other - Middle Name:HARSHAD
Other - Last Name:PARIKH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2101 E JEFFERSON ST
Mailing Address - Street 2:KAISER PERMANENTE MEDICARE ENROLLMENT
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4908
Mailing Address - Country:US
Mailing Address - Phone:301-816-2424
Mailing Address - Fax:
Practice Address - Street 1:655 WATKINS MILL ROAD
Practice Address - Street 2:KAISER PERMANENTE GAITHERSBURG MEDICAL CENTER
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-3301
Practice Address - Country:US
Practice Address - Phone:240-632-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101237425207R00000X
DCMD036193207R00000X
MDD0068677207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
016955K92Medicare ID - Type Unspecified
I30064Medicare UPIN