Individual
DR. JAIRUS SATHIANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1937 W HARVARD AVE, ROSEBURG, OR 97471-2720
(541) 677-7200
(541) 229-3309
Mailing address
2570 NW EDENBOWER BLVD., SUITE 100, ROSEBURG, OR 97471-6214
(541) 677-7200
(541) 229-3309
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD25568
OR
208M00000X
Hospitalist Physician
MD25568
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026829
—
OR
01
—
838334026
BCBS-ROSEBURG
OR
01
—
838366027
BCBS-MCMINNVILLE
OR
01
—
844477029
BCBS-GRANTS PASS
OR
01
—
P00237173
RAIL ROAD MEDICARE
OR
Enumeration date
04/26/2006
Last updated
06/12/2020
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