Challa, Jyothi

Challa, Jyothi is an sole proprietor health care provider with primary practice located at 148 W North St , Springfield OH 45504-2547. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Challa, Jyothi can be contacted via phone (937) 323-5001.

Contact Information

Primary practice address
148 W North St Springfield OH 45504-2547
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 57.009463 Ohio
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35.090143 Ohio

Profile Details

NPI number 1528144250
LBN Legal business name Challa, Jyothi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Apr 19th, 2021 - about 4 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 1528144250 NPPES
Ohio MEDICAID 2867947

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