Kuppannagari, Jyotsna

Kuppannagari, Jyotsna is an sole proprietor health care provider with primary practice located at 303 S Highway 78 Ste 106 , Wylie TX 75098-3915. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kuppannagari, Jyotsna can be contacted via phone (940) 381-1501.

Contact Information

Primary practice address
303 S Highway 78 Ste 106 Wylie TX 75098-3915
Fax: (972) 801-9015
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Q2680 Texas

Profile Details

NPI number 1821346263
LBN Legal business name Kuppannagari, Jyotsna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2012
Last updated Apr 24th, 2024 - 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 1821346263 NPPES
Texas MEDICAID 349806501

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