Individual
AMIT JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A.
Contact information
Practice address
6206 W BELL RD, GLENDALE, AZ 85308-3750
(480) 882-4545
(602) 863-5851
Mailing address
2711 FOSTER AVE, NASHVILLE, TN 37210-5307
(615) 227-3000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
54746
AZ
208000000X
Pediatrics Physician
69601
TN
208000000X
Pediatrics Physician
LL2445
NV
208000000X
Pediatrics Physician
Primary
W2635
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54746
ARIZONA MD LICENSE
AZ
01
—
69601
TN STATE LICENSE
TN
01
—
A148127
CA PHYSICIAN AND SURGEON LICENSE
CA
01
—
LL2445
MEDICAL RESIDENT STUDENT LICENSE
NV
Enumeration date
03/20/2013
Last updated
04/21/2026
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