Individual
GOVIND JHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3920 ST FRANCIS WAY STE 220, LAFAYETTE, IN 47905-4922
(765) 428-5950
(765) 428-5951
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01094679A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01094679A
IN
207RP1001X
Pulmonary Disease Physician
Primary
01094679A
IN
207RP1001X
Pulmonary Disease Physician
39271
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2019
Last updated
03/10/2026
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