Individual
DR. VENKATA NARAYANA JASTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 IRVING AVE, SYRACUSE, NY 13210-2716
(315) 425-4400
Mailing address
800 IRVING AVE, SYRACUSE, NY 13210-2716
(315) 425-4400
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
280242
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2012
Last updated
09/03/2021
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