Individual
DR. VIVEK KUMAR JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-2217
(757) 425-5550
(757) 412-2606
Mailing address
1201 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-2217
(757) 425-5550
(757) 412-2606
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101226759
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006310486
—
VA
Enumeration date
09/13/2005
Last updated
03/19/2015
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