Dr. Jitendra A Jain
Pediatrician
102 Essex Ct Ste A
Madison
, Alabama 35758
Dr. Jitendra A Jain
Pediatrician
102 Essex Ct Ste A
Madison
, Alabama 35758
(256) 461-8447
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Jitendra A Jain
- 102 Essex Ct Ste A
- Madison, AL
- Zip : 35758-3160
- Fax : (256) 461-8447
- Phone : (256) 461-8442
Second Address
- Dr. Jitendra A Jain
- 102 Essex Ct Ste A
- Madison, AL
- Zip : 35758
- Fax : (256) 461-8447
- Phone : (256) 461-8442
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 21602 | AL |
National Provider Identifier
| NPI | 1003899386 |
|---|---|
| Provider Name | Dr. Jitendra A Jain |
| First Address | Madison, AL 35758-3160 |
| Second Address | Madison, AL 35758 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/11/2005 |
| Last Update Date | 07/02/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 009962215 | (05) | AL |
| 51522575 | BCBS OF ALABAMA (01) | AL |
| G78275 | (02) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.