Individual
AJANTHA JESUDASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621
(585) 922-5067
(585) 922-2908
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-5067
(585) 922-2908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
299505
NY
208M00000X
Hospitalist Physician
Primary
299505
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14496499
CAQH
NY
Enumeration date
08/10/2015
Last updated
07/12/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us