National Provider Identifier

Jay Basappa Jayadeva, M.D.

Jay Basappa Jayadeva, M.D. is listed in the NPPES registry with a primary specialty of Anesthesiology Physician in Warsaw, NY and a listed phone number of (585) 786-8940.

NPI 1679658835Warsaw, NYAnesthesiology Physician

Profile Overview

NPI
1679658835
Provider Type
Individual
Primary Specialty
Anesthesiology Physician
Enumeration Date
October 26, 2006
Last Updated
July 08, 2007

Practice Location

  • 400 N Main St
  • Warsaw, NY 14569-1025

Phone: (585) 786-8940

Mailing Address

  • 7 Seneca St
  • Hornell, NY 14843-1312

Specialties

  • Anesthesiology Physician (207L00000X)
Full Record
NPI
1679658835
Entity Type
Individual
Last Name
Jayadeva
First Name
Jay
Middle Name
Basappa
Credential
M.D.
Provider Other Last Name
Jayadeva
Provider Other First Name
Basappa
Provider Other Credential Text
M.D.
Provider Other Last Name Type Code
1
Mailing Street Address
7 Seneca St
Mailing City
Hornell
Mailing State
NY
Mailing ZIP Code
14843-1312
Mailing Country
US
Mailing Phone
(607) 324-1372
Mailing Fax
(585) 384-9269
Practice Street Address
400 N Main St
Practice City
Warsaw
Practice State
NY
Practice ZIP Code
14569-1025
Practice Country
US
Practice Phone
(585) 786-8940
Enumeration Date
October 26, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Anesthesiology Physician (207L00000X)