Gamoth, Jayshri
Gamoth, Jayshri is an sole proprietor health care provider with primary practice located at 4540 E Baseline Rd Ste 109 , Mesa AZ 85206-4616. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Gamoth, Jayshri can be contacted via phone (480) 982-3337.Contact Information
Primary practice address
4540 E Baseline Rd Ste 109
Mesa AZ 85206-4616
Phone: (480) 982-3337
Fax: (480) 497-4580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 36353 | Arizona |
Profile Details
| NPI number | 1851340467 |
|---|---|
| LBN Legal business name | Gamoth, Jayshri |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2006 |
| Last updated | Sep 25th, 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 | 1851340467 | NPPES |
| Arizona | Other | DN5890 | RAIL ROAD MEDICARE |
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