Individual
RAHUL JASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MBBS
Contact information
Practice address
1250 E MARSHALL ST, RADIOLOGY, RICHMOND, VA 23298-5051
(804) 628-6831
(804) 628-1132
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101248820
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1079405
—
LA
Enumeration date
07/30/2007
Last updated
11/29/2017
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