Individual
DR. MANAV JASROTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 N LITCHFIELD RD STE 110, GOODYEAR, AZ 85395-1214
(623) 935-9494
(623) 935-9292
Mailing address
1325 N LITCHFIELD RD STE 110, GOODYEAR, AZ 85395-1214
(623) 935-9494
(623) 935-9292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36067
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163235
—
AZ
01
—
1801993910
BC/BS OF AZ
AZ
01
—
8V1927
BCBS
TX
01
—
P00378917
RR MEDICARE
TX
Enumeration date
09/20/2006
Last updated
02/15/2023
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