Provider Demographics
NPI:1285633032
Name:JAIN, NARESH K (MD)
Entity Type:Individual
Prefix:DR
First Name:NARESH
Middle Name:K
Last Name:JAIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:620 10TH STREET #710
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14301
Mailing Address - Country:US
Mailing Address - Phone:716-285-1133
Mailing Address - Fax:716-285-1176
Practice Address - Street 1:620 10TH STREET #710
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301
Practice Address - Country:US
Practice Address - Phone:716-285-1133
Practice Address - Fax:716-285-1176
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2017-11-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY157035207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00958970Medicaid
NY00958970Medicaid
A60587Medicare UPIN