Individual
DR. ANIL KUMAR JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
7830 MADISON AVE STE B, INDIANAPOLIS, IN 46227-5710
(317) 888-1100
(317) 888-1118
Mailing address
7830 MADISON AVE, STE B, INDIANAPOLIS, IN 46227-5710
(317) 888-1100
(317) 888-1118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01063444A
IN
207RN0300X
Nephrology Physician
Primary
01063444A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200245640
—
IN
05
—
2522685
—
OH
05
—
64090376
—
KY
Enumeration date
04/21/2006
Last updated
07/21/2022
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