Organization
MEDINA CARDIOVASCULAR ASSOCIATES INC
Active
Other names
T M JAIN MD INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAN M JAIN MD (PRESIDENT)
(330) 722-8707
Entity
Organization
Contact information
Practice address
970 E WASHINGTON ST STE 2E, MEDINA, OH 44256-2181
(330) 722-8707
(330) 723-5679
Mailing address
970 E WASHINGTON ST STE 2E, MEDINA, OH 44256-2181
(330) 722-8707
(330) 723-5679
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2401458
—
OH
01
—
CA2551
RAILROAD MEDICARE
OH
Enumeration date
07/04/2006
Last updated
09/29/2011
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