Individual
ADITYA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
11850 BLACKFOOT ST NW STE 200, COON RAPIDS, MN 55433-2593
(612) 341-4800
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63950
MN
207R00000X
Internal Medicine Physician
64292-20
WI
207RH0003X
Hematology & Oncology Physician
Primary
63950
MN
207U00000X
Nuclear Medicine Physician
64292-20
WI
2085R0202X
Diagnostic Radiology Physician
64292-20
WI
Other
Enumeration date
04/21/2011
Last updated
08/17/2023
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