Provider Demographics
NPI:1083807762
Name:CASSADY, JESSICA KAMALINI (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:KAMALINI
Last Name:CASSADY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JESSICA
Other - Middle Name:KAMALINI
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2753 ERIE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-2204
Mailing Address - Country:US
Mailing Address - Phone:513-246-8000
Mailing Address - Fax:513-871-2824
Practice Address - Street 1:2753 ERIE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-2204
Practice Address - Country:US
Practice Address - Phone:513-246-8000
Practice Address - Fax:513-871-2824
Is Sole Proprietor?:No
Enumeration Date:2007-08-25
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT187691390200000X
OH35.098207207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program