Individual
ANUJ JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 S 48TH ST STE 600, LINCOLN, NE 68506-1275
(402) 483-3333
Mailing address
PO BOX 6607, LINCOLN, NE 68506-0607
(402) 483-3333
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20428
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0567552
—
IA
05
—
10026072000
—
NE
05
—
10026072200
—
NE
05
—
10026072300
—
NE
05
—
10026072400
—
NE
05
—
10026072500
—
NE
05
—
10026072600
—
NE
05
—
100411840A
—
KS
05
—
47070592300
—
NE
05
—
47070592301
—
NE
05
—
47070592302
—
NE
05
—
47070592305
—
NE
05
—
47070592306
—
NE
05
—
47070592313
—
NE
Enumeration date
10/05/2006
Last updated
09/15/2021
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