Individual
SIVA PRASAD JASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 448-5000
Mailing address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2000
(856) 365-0472
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A136101
CA
Other
Enumeration date
03/20/2013
Last updated
12/01/2024
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