Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | OP60857145 | WA |
N | 111NI0900X | Internist | OP60857145 | WA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 1990 | AL |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | OP60857145 | WA |
N | 207RC0000X | Internist - Cardiovascular Disease | OP60857145 | WA |
NPI | 1306134358 |
---|---|
Provider Name | Dr. Kaushik K Jain |
First Address | Huntsville, AL 35801-4312 |
Second Address | Huntsville, AL 35801-4312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2011 |
Last Update Date | 10/06/2019 |