Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 239483 | MA |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 51569 | TN |
N | 2081S0010X | Sports Medicine | 239483 | MA |
N | 213ES0000X | Sports Medicine | 239483 | MA |
NPI | 1245425057 |
---|---|
Provider Name | Dr. Nitin B Jain |
First Address | Nashville, TN 37212-3164 |
Second Address | Nashville, TN 37212-3164 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2007 |
Last Update Date | 06/08/2014 |