MEDICARE: BHARTI 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	208600000X	Surgery Physician	C42548	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	:	1992728992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHARTI JAIN M.D.

Provider Business Mailing Address
First Line	:	1800 MEDICAL CENTER DR
Second Line	:	SUITE 200
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92411-1218
Country	:	US
Telephone Number	:	909-887-3432
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 MEDICAL CENTER DR
Second Line	:	SUITE 200
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92411-1218
Country	:	US
Telephone Number	:	909-887-3432
Fax Number	:

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	01/09/2014

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Directions to “ BHARTI JAIN M.D.” Practice Location

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