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1881876647

NPI Code Detail

MEDICARE: DR. NITESH KUMAR JAIN MD

MEDICARE: DR. NITESH KUMAR 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
1	207R00000X	Internal Medicine Physician	99123	GA
2	207R00000X	Internal Medicine Physician	Q2306	TX
3	207R00000X	Internal Medicine Physician	66253	MN
4	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	99123	GA
5	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	Q2306	TX
6	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	66253	MN
7	207RP1001X	Pulmonary Disease Physician	66253	MN

General Provider Information

NPI Number	:	1881876647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NITESH KUMAR JAIN MD

Provider Business Mailing Address
First Line	:	1170 CHASEWOOD TRL
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30005-8875
Country	:	US
Telephone Number	:	717-495-1276
Fax Number	:

Provider Business Practice Location Address
First Line	:	743 SPRING ST NE
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30501-3899
Country	:	US
Telephone Number	:	770-219-9000
Fax Number	:

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

Provider Enumeration Date	:	12/03/2007
Last Update Date	:	06/18/2025

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Directions to “ DR. NITESH KUMAR JAIN MD” Practice Location

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