Maddali, Annapurna Jasti

Maddali, Annapurna Jasti is an individual health care provider with primary practice located at 10663 Loveland Madeira Rd Suite-279, Loveland OH 45140-8965. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Maddali, Annapurna Jasti can be contacted via phone (513) 244-8866.

Contact Information

Primary practice address
10663 Loveland Madeira Rd Suite-279 Loveland OH 45140-8965
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35071617 Ohio

Profile Details

NPI number 1235137670
LBN Legal business name Maddali, Annapurna Jasti
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Oct 1st, 2011 - 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 1235137670 NPPES
Ohio MEDICAID 2019130

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