Individual
DR. INDIRA JASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2050 KENNY RD, SUITE 1100, COLUMBUS, OH 43221-3502
(614) 293-8054
(614) 293-4890
Mailing address
700 ACKERMAN RD, SUITE 385, COLUMBUS, OH 43202-1559
(614) 947-3771
(614) 947-3771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301063834
MI
Other
Enumeration date
10/18/2006
Last updated
11/02/2011
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