George-Abraham, Jaya Kanniakonil

George-Abraham, Jaya Kanniakonil is an individual health care provider with primary practice located at 6811 Austin Center Blvd Ste 400 , Austin TX 78731-3157. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as her primary health care specialty. George-Abraham, Jaya Kanniakonil can be contacted via phone (512) 628-1840.

Contact Information

Primary practice address
6811 Austin Center Blvd Ste 400 Austin TX 78731-3157
Phone: (512) 628-1840
Fax: (512) 628-1841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X N3665 Texas

Profile Details

NPI number 1063616621
LBN Legal business name George-Abraham, Jaya Kanniakonil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated May 12th, 2023 - about last year

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 1063616621 NPPES
Texas MEDICAID 288021301

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