Dr. Krishna Mohan Jain
Vascular Surgeon
1815 Henson Ave
Kalamazoo
, Michigan 49048-1510
Dr. Krishna Mohan Jain
Vascular Surgeon
1815 Henson Ave
Kalamazoo
, Michigan 49048-1510
(269) 492-6461
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Krishna Mohan Jain
- 1815 Henson Ave
- Kalamazoo, MI
- Zip : 49048-1510
- Fax : (269) 492-6461
- Phone : (269) 492-6500
Second Address
- Dr. Krishna Mohan Jain
- 1815 Henson Ave
- Kalamazoo, MI
- Zip : 49048-1510
- Fax : (269) 492-6461
- Phone : (269) 492-6500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 4301043579 | MI |
National Provider Identifier
| NPI | 1013972769 |
|---|---|
| Provider Name | Dr. Krishna Mohan Jain |
| First Address | Kalamazoo, MI 49048-1510 |
| Second Address | Kalamazoo, MI 49048-1510 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2006 |
| Last Update Date | 12/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013972769 | (05) | MI |
| 1417961137 | BCBSM - BMH (01) | MI |
| 341660510 | (05) | MI |
| 3733063 | PHP (01) | MI |
| 4309785 | AETNA (01) | MI |
| D83153 | (02) | |
| P53787 | BLUE CARE NETWORK PROVIDE (01) | MI |
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.