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Individual
AMIT JAIN
Active
Individual
AMIT JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101251535
VA
2086S0129X
Vascular Surgery Physician
Primary
35124390
OH
390200000X
Student in an Organized Health Care Education/Training Program
NA
NULL
Other
Enumeration date
07/03/2007
Last updated
03/14/2018
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