Individual
DR. JAYAPANDIAN BHASKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5520 CHEVIOT ROAD, CINCINNATI, OH 45247
(513) 451-4033
(513) 451-4118
Mailing address
P.O BOX 636745, CINCINNATI, OH 45263
(513) 451-4033
(513) 451-4118
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
35-042128
OH
207RX0202X
Medical Oncology Physician
Primary
35-042128
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0377202
—
OH
05
—
2694197
—
OH
Enumeration date
06/14/2006
Last updated
06/27/2012
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