Buddineni, Jaya Prakash
Buddineni, Jaya Prakash is an individual health care provider with primary practice located at 2901 W Kinnickinnic River Pkwy Suite 315, Milwaukee WI 53215-3677. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Buddineni, Jaya Prakash can be contacted via phone (347) 387-3555.Contact Information
Primary practice address
2901 W Kinnickinnic River Pkwy Suite 315
Milwaukee WI 53215-3677
Phone: (347) 387-3555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2009010646 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD443321 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD2021-0858 | New Mexico |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | P9053 | Texas |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 61965 | Wisconsin |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 61965-20 | Wisconsin |
Profile Details
| NPI number | 1376742312 |
|---|---|
| LBN Legal business name | Buddineni, Jaya Prakash |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2007 |
| Last updated | Sep 18th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376742312 | NPPES |
| Wisconsin | MEDICAID | 100038329 |
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