AMIT JAIN M.D. M.B.A. NPI 1043552706

NPI Information

NPI: 1043552706
Provider Name: AMIT JAIN, M.D., M.B.A.
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
6206 W BELL RD
GLENDALE, AZ
ZIP 85308
Phone: (480) 882-4545
Get Directions

Amit Jain, M.D., M.B.A. is a pediatrics in Glendale, AZ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Amit Jain, M.D., M.B.A. NPI is 1043552706. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6206 W BELL RD
GLENDALE, AZ
ZIP 85308-750
Phone: (480) 882-4545
Fax: (602) 863-5851

The NPI 1043552706 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2013 and was last updated on 10/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	208000000X	Pediatrics	LL2445	NEVADA	No
2	390200000X	Student in an Organized Health Care Education/Training Program			No
3	208000000X	Pediatrics	54746	ARIZONA	Yes
4	208000000X	Pediatrics	69601	TENNESSEE	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	54746	OTHER	ARIZONA	ARIZONA MD LICENSE
2	69601	OTHER	TENNESSEE	TN STATE LICENSE
3	A148127	OTHER	CALIFORNIA	CA PHYSICIAN AND SURGEON LICENSE
4	LL2445	OTHER	NEVADA	MEDICAL RESIDENT STUDENT LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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