| Mudit Jain Md Pa | |
|
300 Nw 70th Ave Suite 105 Plantation FL 33317-2384 | |
| (954) 585-6292 | |
| (954) 585-6290 |
| Full Name | Mudit Jain Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Nw 70th Ave, Plantation, Florida |
| Authorized Official Name and Position | Mudit Jain (MD) |
| Authorized Official Contact | 9545856292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mudit Jain Md Pa 300 Nw 70th Ave Suite 105 Plantation FL 33317-2384 Ph: (954) 585-6292 | Mudit Jain Md Pa 300 Nw 70th Ave Suite 105 Plantation FL 33317-2384 Ph: (954) 585-6292 |
| NPI Number | 1114166733 |
|---|---|
| Provider Enumeration Date | 02/05/2009 |
| Last Update Date | 07/16/2009 |
| Medicare PECOS PAC ID | 5597806752 |
|---|---|
| Medicare Enrollment ID | O20100109000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114166733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | ME75960 (Florida) | Primary |
| Provider Name | Mudit Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356305601 PECOS PAC ID: 2466422597 Enrollment ID: I20040727001434 |
| Provider Name | Kirti Jain |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144604992 PECOS PAC ID: 3971748310 Enrollment ID: I20160125001937 |
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