Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | PR510 | FL |
N | 222Z00000X | Podiatrist | PR510 | FL |
N | 213EP1101X | Primary Podiatric Medicine | PR510 | FL |
Y | 213ES0103X | Foot & Ankle Surgery | 01709 | MD |
N | 213ES0103X | Foot & Ankle Surgery | PR510 | FL |
N | 213ES0131X | Foot Surgery | PR510 | FL |
NPI | 1033621131 |
---|---|
Provider Name | Dr. Aisha V. Jasani |
First Address | Bel Air, MD 21014-3919 |
Second Address | Bel Air, MD 21014-3919 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2017 |
Last Update Date | 02/12/2020 |