Maradia, Jaykumar

Maradia, Jaykumar is an individual health care provider with primary practice located at 15230 Lakeshore Dr , Clearlake CA 95422-8107. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Maradia, Jaykumar can be contacted via phone (707) 995-4545.

Contact Information

Primary practice address
15230 Lakeshore Dr Clearlake CA 95422-8107
Phone: (707) 995-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95015110 California
Nursing Service Providers / Critical Care Medicine 163WC0200X 95203261 California

Profile Details

NPI number 1386254134
LBN Legal business name Maradia, Jaykumar
Credentials DNP, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2020
Last updated Aug 13th, 2020 - about 5 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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