Provider Demographics
NPI:1700457546
Name:JAIN, VINAYAK (MBBS)
Entity Type:Individual
Prefix:MR
First Name:VINAYAK
Middle Name:
Last Name:JAIN
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:MR
Other - First Name:ROHIT
Other - Middle Name:
Other - Last Name:JAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:110 IRVING ST. NW, MEDSTAR WASHINGTON HOSPITAL CENTER
Mailing Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010
Mailing Address - Country:US
Mailing Address - Phone:202-877-2835
Mailing Address - Fax:
Practice Address - Street 1:110 IRVING ST. NW, MEDSTAR WASHINGTON HOSPITAL CENTER
Practice Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010
Practice Address - Country:US
Practice Address - Phone:202-877-2835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-02
Last Update Date:2023-04-11
Deactivation Date:2023-04-03
Deactivation Code:
Reactivation Date:2023-04-11
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program