DR. KSHAMA JAWALEKAR M.D. NPI 1407989742

NPI Information

NPI: 1407989742
Provider Name: DR. KSHAMA JAWALEKAR, M.D.
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

Address:
150 E PONCE DE LEON AVE
SUITE 120
DECATUR, GA
ZIP 30030
Phone: (800) 998-5859
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DR. Kshama Jawalekar, M.D. is a radiation oncology radiology in Decatur, GA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Kshama Jawalekar, M.D. NPI is 1407989742. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

150 E PONCE DE LEON AVE
SUITE 120
DECATUR, GA
ZIP 30030-543
Phone: (800) 998-5859
Fax: (404) 378-7460

The enumeration date for this NPI number is 3/14/2007 and was last updated on 9/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	12836	WEST VIRGINIA	No
2	2085R0001X	Radiology	Radiation Oncology	2008016361	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1407989742	MEDICAID	MISSOURI
2	431560263	OTHER		TRICARE WEST
3	P00817807	OTHER	MISSOURI	RAILROAD MEDICARE-CB9013
4	176697001	MEDICAID	ARKANSAS
5	132680119	MEDICARE PIN	MISSOURI
6	B36380	MEDICARE UPIN	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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