Individual
AMIT JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
961 S GLOSTER ST, TUPELO, MS 38801-6343
(662) 377-4550
Mailing address
961 S GLOSTER ST, TUPELO, MS 38801-6343
(662) 377-4550
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
30989
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2017
Last updated
06/15/2023
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