Individual
JARO MAYDA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3611 S REED RD, 105, KOKOMO, IN 46902-3806
(765) 453-8504
Mailing address
3202 WESTON DR, KOKOMO, IN 46902-3842
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
01052526A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000331005
ANTHEM
IN
05
—
200272550
—
IN
01
—
P00144115
RAILROAD
IN
Enumeration date
12/28/2006
Last updated
05/18/2016
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