Individual
ASIT K JHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1206 ALICE ST, WAYCROSS, GA 31501-4525
(912) 285-1140
(912) 285-1125
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(239) 432-8331
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
055248
GA
207RX0202X
Medical Oncology Physician
Primary
055248
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1251795
AMERIGROUP
GA
01
—
202G708768
MEDICARE GROUP PTAN
GA
05
—
286691036G
—
GA
05
—
286691036I
—
GA
01
—
490051
WELLCARE
GA
01
—
52187455
BCBS
GA
01
—
9355145
AETNA
GA
01
—
DQ2362
RAILROAD GROUP
GA
Enumeration date
10/27/2005
Last updated
12/29/2022
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