Kothapally, Jaya Reddy

Kothapally, Jaya Reddy is an individual health care provider with primary practice located at 218 C. Sunset Road , Willingboro NJ 08046. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Kothapally, Jaya Reddy can be contacted via phone (609) 877-0400.

Contact Information

Primary practice address
218 C. Sunset Road Willingboro NJ 08046
Phone: (609) 877-0400
Fax: (609) 877-3542
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 25MA08944000 New Jersey
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 2006012190 Missouri

Profile Details

NPI number 1790894954
LBN Legal business name Kothapally, Jaya Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 11th, 2014 - about 12 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 1790894954 NPPES
New Jersey Other 25MA08944000 MEDICAL LICENSE

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