Most Relevant Information
Provider Data
| NPI Number: | 1003444100 |
| Provider Name: | NIKITA JAIN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/01/2020 |
| Last Updated: | 07/17/2020 |
Provider Practice Location
MEDICAL CENTER BOULEVARD
WINSTON SALEM
NC
271570001
Practice Location Phone/Fax
| Phone: | 3367162011 |
| Fax: |
Provider Mailing Location
MEDICAL CENTER BOULEVARD
WINSTON SALEM
NC
271571573
Provider Mailing Phone/Fax
| Phone: | 3367162011 |
| Fax: |