Lea, Jayanthi Sivasothy

Lea, Jayanthi Sivasothy is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7208. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Lea, Jayanthi Sivasothy can be contacted via phone (214) 645-3838.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390-7208
Phone: (214) 645-3838
Fax: (214) 645-3839
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X K9833 Texas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X K9833 Texas
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 2008-00694 North Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2008-00694 North Carolina

Profile Details

NPI number 1912963497
LBN Legal business name Lea, Jayanthi Sivasothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Dec 29th, 2010 - about 14 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 1912963497 NPPES
North Carolina Other 2008-00694 STATE LICENSE
North Carolina MEDICAID 165917901 STATE LICENSE
North Carolina Other N94008 STATE LICENSE

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