Provider Demographics
NPI:1477578136
Name:JAHDI, NASROLLAH (MD)
Entity Type:Individual
Prefix:DR
First Name:NASROLLAH
Middle Name:
Last Name:JAHDI
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 1:380 SUMMIT AVE
Mailing Address - Street 2:MSO PHYSICIAN BILLING
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2667
Mailing Address - Country:US
Mailing Address - Phone:740-283-7597
Mailing Address - Fax:740-283-7608
Practice Address - Street 1:1805 SINCLAIR AVE
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43953-3327
Practice Address - Country:US
Practice Address - Phone:740-282-9093
Practice Address - Fax:740-282-9087
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV13211207RG0100X
PAMD028222E207RG0100X
OH35.064997207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000653964OtherANTHEM BC/BS
PA428359OtherHIGHMARK BC/BS
OH2006322Medicaid
WV3810008147Medicaid
PA001071983Medicaid
WV428359OtherMOUNTAIN STATE BC/BS
WV428359OtherMOUNTAIN STATE BC/BS
PAB41648Medicare UPIN
PA428359OtherHIGHMARK BC/BS
OHH270490Medicare PIN
WV3810008147Medicaid
WVWV0205AMedicare PIN