Individual
DR. ANKUSH KUMAR JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(301) 295-4611
Mailing address
509 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2579
(423) 302-6565
(423) 952-2175
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
4054
TN
208D00000X
General Practice Physician
390200000X
VA
Other
Enumeration date
09/15/2010
Last updated
01/12/2021
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