Individual
ANAND S JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1365 CLIFTON RD NE BLDG B, ATLANTA, GA 30322
(404) 778-3184
Mailing address
1365 CLIFTON RD NE BLDG B, ATLANTA, GA 30322-1013
(404) 778-3184
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036142470
IL
207R00000X
Internal Medicine Physician
4301104643
MI
207RG0100X
Gastroenterology Physician
Primary
80740
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831489616
—
GA
Enumeration date
04/13/2011
Last updated
06/27/2018
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