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NPI Code Detail

MEDICARE: DR. ASHOK JAYASHANKAR M.D.

MEDICARE: DR. ASHOK JAYASHANKAR M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianE-15029AR
22085R0202XDiagnostic Radiology Physician44763TN
32085R0202XDiagnostic Radiology Physician29747MS

General Provider Information

NPI Number : 1154509206
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHOK JAYASHANKAR M.D.
Provider Business Mailing Address
First Line : PO BOX 5083
Second Line :
City : MEMPHIS
State : TN
Zip : 38101-5083
Country : US
Telephone Number : 901-907-0115
Fax Number :
Provider Business Practice Location Address
First Line : 7600 WOLF RIVER BLVD STE 200
Second Line :
City : GERMANTOWN
State : TN
Zip : 38138-1788
Country : US
Telephone Number : 901-747-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2008
Last Update Date : 12/19/2024

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