Jayachandra, Paul David

Jayachandra, Paul David is an individual health care provider with primary practice located at 1680 Osceola Elementary Rd Ste A, St Augustine FL 32084-0968. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Jayachandra, Paul David can be contacted via phone (904) 824-7476.

Contact Information

Primary practice address
1680 Osceola Elementary Rd Ste A St Augustine FL 32084-0968
Phone: (904) 824-7476
Fax: (904) 824-7870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME0066989 Florida

Profile Details

NPI number 1417953076
LBN Legal business name Jayachandra, Paul David
Credentials M D P A
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Feb 18th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417953076 NPPES
Florida Other AA919 MEDICARE PTAN
Florida Other 5777008 MEDICARE PTAN
Florida MEDICAID 376531801 MEDICARE PTAN
Florida Other 26220 MEDICARE PTAN
Florida Other 150095 MEDICARE PTAN
Florida Other 26220Y MEDICARE PTAN
Florida Other 206068 MEDICARE PTAN
Florida MEDICAID 376531800 MEDICARE PTAN

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