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Dr. Raj Jain, M.D.

Radiology, Diagnostic Radiology in Pueblo, CO. Individual provider (NPI-1).

NPI number1871506972
StatusActive
Last updated in NPPESNov 5, 2020

Details

NPI
1871506972
Entity type
Individual (NPI-1)
Name
Dr. Raj Jain
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 14, 2006
Certification date
Nov 5, 2020
Last updated
Nov 5, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology49990COYes

Practice location

1008 Minnequa Ave
Pueblo, CO 81004-3733

Phone 719-557-4000 · Fax 970-342-2093

Mailing address

Po Box 7693
Loveland, CO 80537-0693

Phone 970-663-2742 · Fax 970-342-2093

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Other Diagnostic Radiology Physician providers in Pueblo, CO

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