Healthcare Provider Details

I. General information

NPI: 1215017785
Provider Name (Legal Business Name): AKAS JAIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 11/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 N. CLEVELAND AVE SUITE 100
WESTERVILLE OH
43082
US

IV. Provider business mailing address

95 ARCH ST SUITE 250
AKRON OH
44304
US

V. Phone/Fax

Practice location:
  • Phone: 614-895-3333
  • Fax: 614-895-3338
Mailing address:
  • Phone: 330-375-7722
  • Fax: 330-253-6708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number25MA08633300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number35121963
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: