Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0117X | Orthopaedic Spine Surgeon | 077836 | GA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | D85009 | MD |
NPI | 1134486384 |
---|---|
Provider Name | Dr. Amit Jain |
First Address | Baltimore, MD 21236-4902 |
Second Address | Baltimore, MD 21287 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2012 |
Last Update Date | 25/08/2018 |