SHAMIK K JAIN, MD - NPI NUMBER 1881829588

Summary

Provider Name: SHAMIK K JAIN, MD

NPI Number: 1881829588

Clasification: Emergency Medicine (207P00000X)

Address:
202 N DIVISION ST
HUMAN RESOURCE DEPARTMENT
AUBURN, WA
ZIP 98001

Phone Number: (253) 333-2561



Detailed Information

Shamik K Jain, MD is an emergency physician in Auburn, WA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. The assigned NPI number for this provider is 1881829588 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

202 N DIVISION ST
HUMAN RESOURCE DEPARTMENT
AUBURN, WA
ZIP 98001-939
Phone: (253) 333-2561

The enumeration date for this NPI number is 5/26/2009 and was last updated on 7/28/2009.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207P00000X Emergency Medicine MD60070566 WA Yes

NPI Record

No. Field Name Field Value
1 NPI 1881829588
2 Entity Type Code 1
3 Provider Last Name Legal Name JAIN
4 Provider First Name SHAMIK
5 Provider Middle Name K
6 Provider Credential Text MD
7 Provider First Line Business Practice Location Address 202 N DIVISION ST
8 Provider Second Line Business Practice Location Address HUMAN RESOURCE DEPARTMENT
9 Provider Business Practice Location Address City Name AUBURN
10 Provider Business Practice Location Address State Name WA
11 Provider Business Practice Location Address Postal Code 980014939
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 2533332561
14 Provider Enumeration Date 5/26/2009
15 Last Update Date 7/28/2009
16 Provider Gender Code M
17 Healthcare Provider Taxonomy Code 1 207P00000X
18 Provider License Number 1 MD60070566
19 Provider License Number State Code 1 WA
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.