Individual
DR. JAIRUS SATHIANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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