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Individual
SUSHIL KUMAR JAIN
Active
Individual
SUSHIL KUMAR JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35067447
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000139189
ANTHEM BCBS
OH
05
—
0145499
—
OH
01
—
128219100
DEPT OF LABOR
OH
01
—
509460001
CARESOURCE BWC
OH
05
—
913629100
—
FL
Enumeration date
01/04/2006
Last updated
03/21/2014
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