Individual
SHRUTI JESANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 473-8672
Mailing address
55103 OTTO WAY, POUGHKEEPSIE, NY 12603-1743
(702) 273-7927
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
1629689070
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/10/2020
Last updated
06/25/2023
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