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:DEPT OF PULMONARY & CRITICAL CARE
Mailing Address - Street 2:800 STANTON L YOUNG BLVD
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117
Mailing Address - Country:US
Mailing Address - Phone:405-271-6173
Mailing Address - Fax:
Practice Address - Street 1:DEPT OF PULMONARY & CRITICAL CARE
Practice Address - Street 2:800 STANTON L YOUNG BLVD
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73117
Practice Address - Country:US
Practice Address - Phone:405-271-6173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-02
Last Update Date:2024-06-17
Deactivation Date:2023-04-03
Deactivation Code:
Reactivation Date:2023-04-11
Provider Licenses
StateLicense IDTaxonomies
OK43118207RC0200X, 207RP1001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease