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Individual
DR. KRISHNA MOHAN JAIN
Active
Individual
DR. KRISHNA MOHAN JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301043579
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013972769
—
MI
01
—
1417961137
BCBSM - BMH
MI
05
—
341660510
—
MI
01
—
3733063
PHP
MI
01
—
4309785
AETNA
MI
01
—
P53787
BLUE CARE NETWORK PROVIDE
MI
Enumeration date
04/18/2006
Last updated
04/12/2011
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