Provider Demographics
NPI:1891510574
Name:SAHI, JASKAMAL
Entity type:Individual
Prefix:
First Name:JASKAMAL
Middle Name:
Last Name:SAHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:928 GARRISON DR
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-3852
Mailing Address - Country:US
Mailing Address - Phone:732-895-9902
Mailing Address - Fax:
Practice Address - Street 1:928 GARRISON DR
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-3852
Practice Address - Country:US
Practice Address - Phone:732-895-9902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant