Basic Information
Provider Information
NPI: 1184648644
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OBEROI
FirstName: JASMEET
MiddleName: S
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1200 W. TABOR ROAD, MOSS REHAB BLDG., 4TH FLOOR
Address2: EINSTEIN PAIN INSTITUTE
City: PHILADELPHIA
State: PA
PostalCode: 19141
CountryCode: US
TelephoneNumber: 2154563815
FaxNumber: 2154566803
Practice Location
Address1: 1200 W. TABOR ROAD, MOSS REHAB BLDG., 4TH FLOOR
Address2: EINSTEIN PAIN INSTITUTE
City: PHILADELPHIA
State: PA
PostalCode: 19141
CountryCode: US
TelephoneNumber: 2154563815
FaxNumber: 2154566803
Other Information
ProviderEnumerationDate: 07/27/2006
LastUpdateDate: 09/16/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X228464MAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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