Provider Demographics
NPI:1659315976
Name:TAILOR, JAYSHREE (MD)
Entity Type:Individual
Prefix:
First Name:JAYSHREE
Middle Name:
Last Name:TAILOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JAYSHREE
Other - Middle Name:
Other - Last Name:ASSAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:238 HOCKESSIN CIR
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-2073
Mailing Address - Country:US
Mailing Address - Phone:302-235-8089
Mailing Address - Fax:
Practice Address - Street 1:3411 SILVERSIDE RD BLDG SUITE100
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4812
Practice Address - Country:US
Practice Address - Phone:302-543-5454
Practice Address - Fax:302-327-4200
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0007843207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE135063ZBA1Medicare PIN
DE135063YRZMedicare PIN
DE170694Medicare PIN