Individual
DR. JASVANTSINH J. ZALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUTHRIE DR, CORNING, NY 14830-3696
(607) 937-7451
(607) 937-7860
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1402401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010170110006
—
PA
05
—
02009983
—
NY
01
—
050081887
RR MEDICARE PIN
NY
01
—
CC8362
RR MEDICARE GROUP
NY
Enumeration date
02/28/2006
Last updated
07/21/2022
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