Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 35-042128 | OH |
Y | 207RX0202X | Medical Oncology | 35-042128 | OH |
NPI | 1467495341 |
---|---|
Provider Name | Dr. Jayapandian Bhaskaran |
First Address | Cincinnati, OH 45263 |
Second Address | Cincinnati, OH 45247 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 27/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0377202 | (05) | OH |
2694197 | (05) | OH |
B95457 | (02) | OH |
H98717 | (02) |