Individual
DR. PRADUMNA S JAIN
Active
Individual
DR. PRADUMNA S JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD0000026667
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
257338000
MAGELLAN
TN
05
—
3095083
—
TN
01
—
3112481
BLUECROSS BLUE SHIELD
TN
Enumeration date
08/18/2006
Last updated
02/14/2020
Update your record
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