Individual
THAN MAL JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
970 E WASHINGTON ST, STE 2-E, MEDINA, OH 44256
(330) 722-8707
(330) 723-5679
Mailing address
PO BOX 638269, CINCINNATI, OH 45263-0001
(330) 722-8707
(330) 723-5679
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
046687
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0559131
—
OH
01
—
060027690
RAILROAD MEDICARE
OH
Enumeration date
06/26/2006
Last updated
09/18/2023
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