Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 35.130276 | OH |
N | 207X00000X | Orthopaedic Surgeon | MD449760 | PA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 35.130276 | OH |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD449760 | PA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MT201805 | PA |
NPI | 1134479736 |
---|---|
Provider Name | Aashish Vilas Jog |
First Address | Steubenville, OH 43952-2356 |
Second Address | Steubenville, OH 43952-2356 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2012 |
Last Update Date | 06/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0213546 | (05) | OH |