Individual
DR. NEEL PRAMOD JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 E COOLSPRING AVE STE 200, MICHIGAN CITY, IN 46360
(219) 861-8167
(219) 872-8832
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01070027
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01070027
IN MEDICAL LICENSE
IN
05
—
201036670
—
IN
Enumeration date
08/26/2008
Last updated
05/17/2022
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