Jain, Mukesh
Jain, Mukesh is an sole proprietor health care provider with primary practice located at 7615 Clarington Cv , Southaven MS 38671-5647. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jain, Mukesh can be contacted via phone (662) 536-2500.Contact Information
Primary practice address
7615 Clarington Cv
Southaven MS 38671-5647
Phone: (662) 536-2500
Fax: (662) 536-2505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25718 | Tennessee |
| Other Service Providers / Specialist | 174400000X | 14601 | Mississippi |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 14601 | Mississippi |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 14601 | Mississippi |
Profile Details
| NPI number | 1447282991 |
|---|---|
| LBN Legal business name | Jain, Mukesh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Nov 20th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447282991 | NPPES |
| Mississippi | MEDICAID | 05128319 | |
| Mississippi | MEDICAID | 06326035 |
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