Ellis, Catherine Jonnakuty
Ellis, Catherine Jonnakuty is an individual health care provider with primary practice located at 19450 Deerfield Avenue, Suite 200 , Leesburg VA 20176-6821. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Ellis, Catherine Jonnakuty can be contacted via phone (703) 844-8380.Contact Information
Primary practice address
19450 Deerfield Avenue, Suite 200
Leesburg VA 20176-6821
Phone: (703) 844-8380
Fax: (703) 263-8393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MT189022 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 0101259955 | Virginia |
Profile Details
| NPI number | 1548473150 |
|---|---|
| LBN Legal business name | Ellis, Catherine Jonnakuty |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Oct 9th, 2023 - about 2 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 | 1548473150 | NPPES |
| Virginia | MEDICAID | 1548473150 | |
| Virginia | MEDICAID | 30015941210002 |
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