Individual
PANKAJ JAIN
Active
Individual
PANKAJ JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036121222
IL
207RP1001X
Pulmonary Disease Physician
39423
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000365405
BLUE CROSS BLUE SHIELD
KY
05
—
036121222
—
IL
01
—
05-0540914
TAX ID
IL
05
—
64100852
—
KY
01
—
P00256659
RAILROAD MEDICARE
KY
01
—
P00723355
RAIL ROAD MEDICARE
IL
Enumeration date
03/20/2006
Last updated
08/29/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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