Provider Demographics
NPI:1235124975
Name:MAKAR, JASBIR SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:JASBIR
Middle Name:SINGH
Last Name:MAKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:485 COLLIERS WAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-5012
Mailing Address - Country:US
Mailing Address - Phone:304-723-5500
Mailing Address - Fax:304-723-5516
Practice Address - Street 1:485 COLLIERS WAY
Practice Address - Street 2:SUITE A
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-5012
Practice Address - Country:US
Practice Address - Phone:304-723-5500
Practice Address - Fax:304-723-5516
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-19
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV09719207RC0000X
PAMD0334102207RC0000X
OH35034976207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0239601Medicaid
WV007797000Medicaid
WVB42536Medicare UPIN
OH0239601Medicaid