Jollu, Chayapathy
Jollu, Chayapathy is an individual health care provider with primary practice located at 10238 Sw 86Th Cir Unit 300 , Ocala FL 34481-7625. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Jollu, Chayapathy can be contacted via phone (352) 873-1011.Contact Information
Primary practice address
10238 Sw 86Th Cir Unit 300
Ocala FL 34481-7625
Phone: (352) 873-1011
Fax: (352) 873-1017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 26157 | Wisconsin |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 4301090436 | Michigan |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | ME99148 | Florida |
Profile Details
| NPI number | 1255523551 |
|---|---|
| LBN Legal business name | Jollu, Chayapathy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2007 |
| Last updated | May 12th, 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 | 1255523551 | NPPES |
| Michigan | Other | 110B210270 | BCBS |
| Michigan | MEDICAID | 1255523551 | BCBS |
| Michigan | Other | 2502210891 | BCBS |
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