Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 4880 | NV |
NPI | 1053374744 |
---|---|
Provider Name | Ranjit Jain |
First Address | Las Vegas, NV 89106-4126 |
Second Address | Las Vegas, NV 89106-4126 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 31/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2002903 | (05) | NV |
C96182 | (02) | NV |