Provider Demographics
NPI:1720737414
Name:JAHANDAR, DONYA (MD)
Entity Type:Individual
Prefix:
First Name:DONYA
Middle Name:
Last Name:JAHANDAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 S. JACKSON STREET
Mailing Address - Street 2:FLOOR 2 ACB DEPARTMENT OF SURGERY
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202
Mailing Address - Country:US
Mailing Address - Phone:502-852-1895
Mailing Address - Fax:
Practice Address - Street 1:550 S. JACKSON STREET
Practice Address - Street 2:FLOOR 2 ACB DEPARTMENT OF SURGERY
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202
Practice Address - Country:US
Practice Address - Phone:502-852-1895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program