Provider Demographics
NPI:1366448508
Name:JAIN, BHARAT (MD)
Entity Type:Individual
Prefix:
First Name:BHARAT
Middle Name:
Last Name:JAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 PELLIS RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4574
Mailing Address - Country:US
Mailing Address - Phone:724-832-7632
Mailing Address - Fax:724-832-7633
Practice Address - Street 1:426 PELLIS RD
Practice Address - Street 2:SUITE 1
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4574
Practice Address - Country:US
Practice Address - Phone:724-832-7632
Practice Address - Fax:724-832-7633
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056054L207R00000X, 207RS0012X, 207RP1001X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000000170014OtherUNISON/THREE RIVERS
PA6263100001OtherMEDICARE DME PIN
PA1767806OtherHIGHMARK
PA5945019OtherAETNA
PA321861OtherHEALTH AMERICA/ASSURANCE
PA1037455OtherGATEWAY
PA203803OtherUPMC
PA1021816320001Medicaid
PA783425OtherHIGHMARK
PA5945019OtherAETNA
PA6263100001OtherMEDICARE DME PIN