Rajendra Kumar Jain, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

WV11477 Issued in WV

Practice address

2828 1St Ave
Ste 204 Rajenda K Jain MD
Huntington, WV 25702

Phone

(304) 525-7716

Fax

(304) 525-7717

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285647693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 1ST AVE",
            "address_2": "STE 204 RAJENDA K JAIN MD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25702",
            "telephone_number": "304-525-7716",
            "fax_number": "304-525-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 1ST AVE",
            "address_2": "STE 204 RAJENDA K JAIN MD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25702",
            "telephone_number": "304-525-7716",
            "fax_number": "304-525-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "RAJENDRA",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WV",
            "license": "WV11477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0039168000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130577000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0380387",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Jeneen Jackson
• Donald Scott Jacobs, LMT
• Kathryn Goff Jacobs, RPH, MHA
• Pamela Rice Jacobs, C-FNP
• Sharmila Jai Kumar, MD
• Rajiv K. Jain, DO
• Aisha Jamal, MD
• James R Butler DDS
• James T Hall DDS PLLC
• Alexis Michelle James-Joyce

• Urology Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Urology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.