Individual
AMIT JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7690 DISCOVERY DR., WEST CHESTER, OH 45069
(513) 558-3700
(513) 558-5036
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5506
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101251535
VA
2086S0129X
Vascular Surgery Physician
Primary
35124390
OH
390200000X
Student in an Organized Health Care Education/Training Program
NA
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109688
—
OH
Enumeration date
07/03/2007
Last updated
03/14/2018
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