Individual
DR. KAUSHIK K JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 533-3388
(256) 801-6905
Mailing address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 533-3388
(256) 801-6905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OP60857145
WA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
1990
AL
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
OP60857145
WA
207RC0000X
Cardiovascular Disease Physician
OP60857145
WA
Other
Enumeration date
07/12/2011
Last updated
06/10/2019
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