Achanta, Jayaprada

Achanta, Jayaprada is an individual health care provider with primary practice located at 2500 Merced St , San Leandro CA 94577-4201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Achanta, Jayaprada can be contacted via phone (510) 454-1000.

Contact Information

Primary practice address
2500 Merced St San Leandro CA 94577-4201
Phone: (510) 454-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A72123 California

Profile Details

NPI number 1053463851
LBN Legal business name Achanta, Jayaprada
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Dec 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053463851 NPPES
California MEDICAID 00A721230

Popular Providers