| Yashwanth Jasti MD PA | |
|
611 N Macarthur Blvd Irving TX 75061-7428 | |
| (214) 389-0855 | |
| (214) 389-0859 |
| Full Name | Yashwanth Jasti MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 611 N Macarthur Blvd, Irving, Texas |
| Authorized Official Name and Position | Yashwanth Jasti (OWNER) |
| Authorized Official Contact | 2143890855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yashwanth Jasti MD PA 611 N Macarthur Blvd Irving TX 75061-7428 Ph: (214) 389-0855 | Yashwanth Jasti MD PA 611 N Macarthur Blvd Irving TX 75061-7428 Ph: (214) 389-0855 |
| NPI Number | 1972015477 |
|---|---|
| Provider Enumeration Date | 10/25/2017 |
| Last Update Date | 04/27/2021 |
| Certification Date | 04/27/2021 |
| Medicare PECOS PAC ID | 9638586225 |
|---|---|
| Medicare Enrollment ID | O20210326001050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972015477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | Q2143 (Texas) | Primary |
| Provider Name | Yashwanth Jasti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871890616 PECOS PAC ID: 1153580915 Enrollment ID: I20150220001936 |
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