Durvasula, Jaya

Durvasula, Jaya is an individual health care provider with primary practice located at 15245 Bluebird St Nw , Andover MN 55304-3538. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Durvasula, Jaya can be contacted via phone (763) 587-4600.

Contact Information

Primary practice address
15245 Bluebird St Nw Andover MN 55304-3538
Phone: (763) 587-4600
Fax: (763) 587-4615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 71239 Minnesota

Profile Details

NPI number 1386209906
LBN Legal business name Durvasula, Jaya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2019
Last updated Oct 20th, 2022 - 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.

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