Avasarala, Jagannadha Rao
Avasarala, Jagannadha Rao is an individual health care provider with primary practice located at 740 S Limestone Ky Clinic J401 , Lexington KY 40536-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Avasarala, Jagannadha Rao can be contacted via phone (859) 323-5661.Contact Information
Primary practice address
740 S Limestone Ky Clinic J401
Lexington KY 40536-0001
Phone: (859) 323-5661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2008028207 | Missouri |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 36752 | South Carolina |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 51916 | Kentucky |
Profile Details
| NPI number | 1972576940 |
|---|---|
| LBN Legal business name | Avasarala, Jagannadha Rao |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | May 2nd, 2022 - 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 | 1972576940 | NPPES |
| South Carolina | MEDICAID | Q0031C | |
| South Carolina | MEDICAID | 1972576940 | |
| South Carolina | Other | 1972576940 |
Popular Providers
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Lee, Jessica D
740 S Limestone J401, Lexington KY 40536-0001 -
Robertson, William C
740 South Limestone J 401, Lexington KY 40536-0001 -
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Maragos, William F
740 South Limestone , Lexington KY 40536-0001 -
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Sabet, Arman
740 South Limestone , Lexington KY 40536-0001 -
Nelson, Kevin
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