Individual
DR. JAYANT V GINDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036047890
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047890
—
IL
01
—
320000298
RR MEDICARE ICRO
IL
01
—
920000278
RR MEDICARE CONS RAD
IL
01
—
9200004027
RR MEDICARE HITECH
IL
Enumeration date
11/18/2005
Last updated
11/30/2023
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