Individual
VIBHA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1325 WOLF PARK DR STE 102, GERMANTOWN, TN 38138-1759
(901) 252-3400
(901) 763-4305
Mailing address
1325 WOLF PARK DR STE 103, GERMANTOWN, TN 38138-1759
(901) 252-3400
(901) 763-4305
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
40092
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
43624
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01066918A
STATE LICENSURE
IN
05
—
200949400
—
IN
01
—
40092
MEDICAL LICENSURE
KY
Enumeration date
06/12/2007
Last updated
08/27/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us