Provider Demographics
NPI:1992728935
Name:JAIN, NEERAJ (MD)
Entity type:Individual
Prefix:
First Name:NEERAJ
Middle Name:
Last Name:JAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2000 CANAL ST
Mailing Address - Street 2:CARDIOLOGY DEPARTMENT
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-3018
Mailing Address - Country:US
Mailing Address - Phone:504-568-2718
Mailing Address - Fax:504-568-2147
Practice Address - Street 1:533 BOLIVAR ST
Practice Address - Street 2:BOX 342
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-1349
Practice Address - Country:US
Practice Address - Phone:504-568-2688
Practice Address - Fax:504-568-2147
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2017-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA023707207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1154652Medicaid
LA4F226F669Medicare PIN
LA4F226Medicare PIN
LAP00049988Medicare PIN
LA4F226F668Medicare UPIN
H87074Medicare UPIN