Provider Demographics
NPI:1538207238
Name:BAYASI, JED M (MD)
Entity type:Individual
Prefix:
First Name:JED
Middle Name:M
Last Name:BAYASI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3491 S MERCY RD
Mailing Address - Street 2:103
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-0433
Mailing Address - Country:US
Mailing Address - Phone:480-917-0933
Mailing Address - Fax:480-917-8866
Practice Address - Street 1:3491 S MERCY RD
Practice Address - Street 2:SUITE 103
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-0433
Practice Address - Country:US
Practice Address - Phone:480-917-0933
Practice Address - Fax:480-214-9999
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2024-09-25
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Provider Licenses
StateLicense IDTaxonomies
AZ33079207R00000X, 207RC0200X, 207RH0002X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZH53739Medicare UPIN