Dave, Rajesh Jayantkrishna
Dave, Rajesh Jayantkrishna is an individual health care provider with primary practice located at 33-57 Harrison St , Johnson City NY 13790-2143. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Dave, Rajesh Jayantkrishna can be contacted via phone (607) 763-6690.Contact Information
Primary practice address
33-57 Harrison St
Johnson City NY 13790-2143
Phone: (607) 763-6690
Fax: (607) 763-6524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 142217 | New York |
Profile Details
| NPI number | 1669477832 |
|---|---|
| LBN Legal business name | Dave, Rajesh Jayantkrishna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1669477832 | NPPES |
| New York | MEDICAID | 00625961 |
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