Provider Demographics
NPI:1225255011
Name:JASH, SATKARI (MD)
Entity Type:Individual
Prefix:DR
First Name:SATKARI
Middle Name:
Last Name:JASH
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 1:93 WEST EXCHANGE STREET
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1040
Mailing Address - Country:US
Mailing Address - Phone:330-762-7248
Mailing Address - Fax:330-762-0665
Practice Address - Street 1:93 WEST EXCHANGE STREET
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1040
Practice Address - Country:US
Practice Address - Phone:330-762-7248
Practice Address - Fax:330-762-0665
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-037421207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0264413Medicaid
OHJA0401912Medicare ID - Type Unspecified
OH0264413Medicaid