Individual
MANISH JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01071439A
IN
207RN0300X
Nephrology Physician
Primary
01071439A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201077340
—
IN
01
—
232359401
MAIN LINE HEALTHCARE
PA
Enumeration date
12/14/2006
Last updated
01/22/2026
Update your record
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