Kodali, Jyothsna
Kodali, Jyothsna is an individual health care provider with primary practice located at 2651 Bolton Boone Dr , Desoto TX 75115-2011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Kodali, Jyothsna can be contacted via phone (214) 358-2300.Contact Information
Primary practice address
2651 Bolton Boone Dr
Desoto TX 75115-2011
Phone: (214) 358-2300
Fax: (214) 579-6941
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | L1634 | Texas |
Profile Details
NPI number | 1710965215 |
---|---|
LBN Legal business name | Kodali, Jyothsna |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 4th, 2006 |
Last updated | Dec 8th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710965215 | NPPES |
Texas | Other | L1634 | TX LICENSE |
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