Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036129971 | IL |
N | 111NI0900X | Internist | 036129971 | IL |
Y | 207RI0200X | Infectious Disease | 278002 | MA |
NPI | 1023272960 |
---|---|
Provider Name | Vishal Jain |
First Address | Boston, MA 02111-1552 |
Second Address | Boston, MA 02111-1552 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2008 |
Last Update Date | 28/08/2020 |