Individual
MR. MUKESH JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
14601
MS
174400000X
Specialist
25718
TN
207R00000X
Internal Medicine Physician
Primary
14601
MS
208M00000X
Hospitalist Physician
14601
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05128319
—
MS
05
—
06326035
—
MS
Enumeration date
07/07/2006
Last updated
11/20/2019
Update your record
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