Ambati, Jayakrishna
Ambati, Jayakrishna is an individual health care provider with primary practice located at 1300 Jefferson Park Ave 2Nd Floor, Charlottesville VA 22903-3363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ambati, Jayakrishna can be contacted via phone (434) 924-5485.Contact Information
Primary practice address
1300 Jefferson Park Ave 2Nd Floor
Charlottesville VA 22903-3363
Phone: (434) 924-5485
Fax: (434) 244-9436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 36311 | Kentucky |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0101260900 | Virginia |
Profile Details
| NPI number | 1295845154 |
|---|---|
| LBN Legal business name | Ambati, Jayakrishna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Aug 8th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295845154 | NPPES |
| Kentucky | MEDICAID | 64032386 |
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