MEDICARE: ASHIT JAIN MD INC

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	207R00000X	Internal Medicine Physician	049818	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720098387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHIT JAIN MD INC

Provider Business Mailing Address
First Line	:	1900 MOWRY AVE
Second Line	:	STE 309
City	:	FREMONT
State	:	CA
Zip	:	94538-1722
Country	:	US
Telephone Number	:	510-796-0222
Fax Number	:	510-796-7760

Provider Business Practice Location Address
First Line	:	2000 MOWRY AVE
Second Line	:	WASHINGTON HOSPITAL
City	:	FREMONT
State	:	CA
Zip	:	94538-1722
Country	:	US
Telephone Number	:	510-795-2013
Fax Number	:	510-739-1864

Authorized Official
Title or Position	:	CEO
Name	:	DR. ASHIT JAIN
Credential	:	MD
Telephone Number	:	510-796-0222

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	08/22/2020

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