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NPI Code Detail

MEDICARE: NIKITA JAIN MD

MEDICARE:   NIKITA  JAIN  MD
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
1207RH0003XHematology & Oncology Physician54925KY
2207RH0003XHematology & Oncology Physician83395WI
3207RX0202XMedical Oncology PhysicianME178655FL
4207R00000XInternal Medicine Physician125073109IL
5207RH0000XHematology (Internal Medicine) PhysicianME178655FL

Other Identifiers

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

General Provider Information

NPI Number : 1801381900
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIKITA JAIN MD
Provider Business Mailing Address
First Line : PO BOX 102222
Second Line :
City : ATLANTA
State : GA
Zip : 30368-2222
Country : US
Telephone Number : 239-274-8200
Fax Number :
Provider Business Practice Location Address
First Line : 3630 MANATEE AVE W
Second Line :
City : BRADENTON
State : FL
Zip : 34205-2557
Country : US
Telephone Number : 941-792-1881
Fax Number : 941-795-3924
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2018
Last Update Date : 02/20/2026

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Directions to “ NIKITA JAIN MD” Practice Location

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