Basic Information
Provider Information
NPI: 1144492737
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAIN-JARAS
FirstName: KRISTI
MiddleName: LYNN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: RAIN
OtherFirstName: KRISTI
OtherMiddleName: LYNN
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 1200 BROOKS LN
Address2: SUITE 290
City: JEFFERSON HILLS
State: PA
PostalCode: 150253747
CountryCode: US
TelephoneNumber: 4127291500
FaxNumber: 4123842462
Practice Location
Address1: 565 COAL VALLEY RD
Address2:  
City: JEFFERSON HILLS
State: PA
PostalCode: 150253703
CountryCode: US
TelephoneNumber: 4125106887
FaxNumber: 4124697622
Other Information
ProviderEnumerationDate: 03/24/2008
LastUpdateDate: 10/09/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XMD446005PAN Allopathic & Osteopathic PhysiciansPediatrics 
207R00000XMD446005PAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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