Provider Demographics
NPI:1801861620
Name:HARI, JAYESH K (MD)
Entity Type:Individual
Prefix:DR
First Name:JAYESH
Middle Name:K
Last Name:HARI
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:PO BOX 7169
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-0169
Mailing Address - Country:US
Mailing Address - Phone:614-221-3303
Mailing Address - Fax:614-464-2281
Practice Address - Street 1:111 S GRANT AVE
Practice Address - Street 2:3RD FLOOR RADIOLOGY DEPT
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-4701
Practice Address - Country:US
Practice Address - Phone:614-566-9231
Practice Address - Fax:614-566-8385
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-07-8236-H2085R0202X
OH35.0782362085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2197564Medicaid
OHHA4022121Medicare ID - Type Unspecified
OHG94919Medicare UPIN