Bodalia, Jayesh Bharat

Bodalia, Jayesh Bharat is an individual health care provider with primary practice located at 4700 Waters Ave , Savannah GA 31404-6220. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Bodalia, Jayesh Bharat can be contacted via phone (912) 354-3510.

Contact Information

Primary practice address
4700 Waters Ave Savannah GA 31404-6220
Phone: (912) 354-3510
Fax: (912) 356-3391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 004917 Georgia

Profile Details

NPI number 1073654471
LBN Legal business name Bodalia, Jayesh Bharat
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Jan 16th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073654471 NPPES
Georgia MEDICAID 206121990A
Georgia Other CK6241

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