Provider Demographics
NPI:1184361446
Name:JASHAN REET, FNU (MD)
Entity type:Individual
Prefix:
First Name:FNU
Middle Name:
Last Name:JASHAN REET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JASHAN REET
Other - Middle Name:
Other - Last Name:JAMMU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3424 KOSSUTH AVE NYC HEALTH HOSPITALS NORTH CENTRAL B
Mailing Address - Street 2:ROOM 10C-02
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467
Mailing Address - Country:US
Mailing Address - Phone:718-918-5006
Mailing Address - Fax:
Practice Address - Street 1:3424 KOSSUTH AVE NYC HEALTH HOSPITALS NORTH CENTRAL B
Practice Address - Street 2:ROOM 10C-02
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-918-5006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-18
Last Update Date:2023-03-10
Deactivation Date:2023-02-16
Deactivation Code:
Reactivation Date:2023-03-08
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program