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Individual

ASHISH KUMAR JAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
125 QUEENS RD STE 250, CHARLOTTE, NC 28204-3215
(704) 316-5100
(704) 316-5101
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5100
(704) 316-5101

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2018-01039
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2018-01039
NC

Other

Enumeration date
04/27/2011
Last updated
06/14/2021
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