MEDICARE: DR. TARUN JAIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207RX0202X	Medical Oncology Physician	88583	GA
3	2080P0207X	Pediatric Hematology & Oncology Physician	88583	GA

General Provider Information

NPI Number	:	1023542115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TARUN JAIN M.D.

Provider Business Mailing Address
First Line	:	2015 UPPERGATE DR #400
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-0001
Country	:	US
Telephone Number	:	404-778-4834
Fax Number	:

Provider Business Practice Location Address
First Line	:	2015 UPPERGATE DR #400
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1501
Country	:	US
Telephone Number	:	404-778-4834
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2017
Last Update Date	:	01/12/2026

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