Individual
BHARAT JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
426 PELLIS RD, SUITE 1, GREENSBURG, PA 15601-4574
(724) 832-7632
(724) 832-7633
Mailing address
426 PELLIS RD, SUITE 1, GREENSBURG, PA 15601-4574
(724) 832-7632
(724) 832-7633
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD056054L
PA
207RP1001X
Pulmonary Disease Physician
MD056054L
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD056054L
PA
332B00000X
Durable Medical Equipment & Medical Supplies
MD056054L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000170014
UNISON/THREE RIVERS
PA
05
—
1021816320001
—
PA
01
—
1037455
GATEWAY
PA
01
—
1767806
HIGHMARK
PA
01
—
203803
UPMC
PA
01
—
321861
HEALTH AMERICA/ASSURANCE
PA
01
—
5945019
AETNA
PA
01
—
6263100001
MEDICARE DME PIN
PA
01
—
783425
HIGHMARK
PA
Enumeration date
06/22/2005
Last updated
10/16/2009
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