Provider Demographics
NPI:1568410363
Name:JAIN, YUGESH K (MD)
Entity Type:Individual
Prefix:
First Name:YUGESH
Middle Name:K
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 1:3443 DICKERSON PIKE
Mailing Address - Street 2:SUITE G-30
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2519
Mailing Address - Country:US
Mailing Address - Phone:615-234-6390
Mailing Address - Fax:615-234-6393
Practice Address - Street 1:3443 DICKERSON PIKE
Practice Address - Street 2:SUITE G-30
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2519
Practice Address - Country:US
Practice Address - Phone:615-234-6390
Practice Address - Fax:615-234-6393
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30590207R00000X
GA057088207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3827434Medicaid
GA017583969AMedicaid
TN1511200Medicaid
GA017583969AMedicaid
TN38274344Medicare PIN
TN38274341Medicare PIN
TN1511200Medicaid
F57317Medicare UPIN