Individual
DR. BIJAY K. JAYASWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3457 MEDINA RD, MEDINA, OH 44256-9663
(330) 721-2100
(330) 722-8142
Mailing address
1220 MOORE RD, SUITE B, AVON, OH 44011-4044
(440) 930-4446
(440) 934-0682
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35042133
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000212710
ANTHEM
OH
05
—
0366741
—
OH
01
—
341221800036
CARESOUCE
OH
01
—
54208
QUALCHOICE
OH
01
—
729
SUMMACARE
OH
Enumeration date
01/13/2006
Last updated
10/24/2007
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