Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125067471 | IL |
N | 111NI0900X | Internist | 125067471 | IL |
Y | 207RN0300X | Nephrologist | 305006 | NY |
NPI | 1013398692 |
---|---|
Provider Name | Aditya Jain |
First Address | New York, NY 10016-6402 |
Second Address | New York, NY 10016-6402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2015 |
Last Update Date | 10/09/2020 |