Chowdappa, Jayadeva

Chowdappa, Jayadeva is an individual health care provider with primary practice located at 3535 Little Rd , Trinity FL 34655-1811. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Chowdappa, Jayadeva can be contacted via phone (727) 375-0848.

Contact Information

Primary practice address
3535 Little Rd Trinity FL 34655-1811
Phone: (727) 375-0848
Fax: (727) 375-5548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 593554382 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME73247 Florida

Profile Details

NPI number 1609871805
LBN Legal business name Chowdappa, Jayadeva
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Nov 26th, 2014 - about 10 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 1609871805 NPPES
Florida MEDICAID 255619700

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