Provider Demographics
NPI:1164166948
Name:JINKA, SANJAY KRISHNA ASHOKA (MD)
Entity Type:Individual
Prefix:DR
First Name:SANJAY
Middle Name:KRISHNA ASHOKA
Last Name:JINKA
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 1:3311 CHARTER OAK DR
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-9457
Mailing Address - Country:US
Mailing Address - Phone:419-261-9872
Mailing Address - Fax:
Practice Address - Street 1:30 E APPLE ST STE 2200
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409-2939
Practice Address - Country:US
Practice Address - Phone:419-261-9872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-26
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program