Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | ME 104736 | FL |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | ME 104736 | FL |
N | 208200000X | Surgeon | ME 104736 | FL |
N | 208600000X | Surgeon | ME 104736 | FL |
N | 208200000X | Surgeon | ME104736 | FL |
N | 208600000X | Surgeon | ME104736 | FL |
Y | 2082S0105X | Plastic Hand Surgeon | 35098976 | OH |
NPI | 1194997015 |
---|---|
Provider Name | Sonu Abhishek Jain |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43212-3153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2008 |
Last Update Date | 01/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0063967 | (05) | OH |