Jasti, Yashwanth

Jasti, Yashwanth is an individual health care provider with primary practice located at 2727 Bolton Boone Dr Ste 109 , Desoto TX 75115-2019. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Jasti, Yashwanth can be contacted via phone (972) 283-2370.

Contact Information

Primary practice address
2727 Bolton Boone Dr Ste 109 Desoto TX 75115-2019
Phone: (972) 283-2370
Fax: (972) 296-0311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.098400 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Q2143 Texas
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 01076185A Indiana
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 207404 Louisiana
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X Q2143 Texas

Profile Details

NPI number 1871890616
LBN Legal business name Jasti, Yashwanth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2011
Last updated Mar 12th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871890616 NPPES
Ohio MEDICAID 0060431
Ohio Other H070410

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