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Individual
DR. MAHENDRA G. JAIN
Active
Individual
DR. MAHENDRA G. JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K4317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040997103
—
TX
05
—
040997104
—
TX
05
—
040997105
—
TX
01
—
8EB467
BCBS
TX
01
—
8FT489
BCBS
TX
01
—
P01316143
RR MEDICARE
TX
01
—
P01626934
RR MEDICARE
TX
Enumeration date
08/11/2005
Last updated
01/11/2017
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