Mikkilineni, Devi Jayanthi

Mikkilineni, Devi Jayanthi is an individual health care provider with primary practice located at 1301 Pennsylvania Ave Suite 408, Des Moines IA 50316-2350. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Mikkilineni, Devi Jayanthi can be contacted via phone (515) 263-5000.

Contact Information

Primary practice address
1301 Pennsylvania Ave Suite 408 Des Moines IA 50316-2350
Phone: (515) 263-5000
Fax: (515) 263-5001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 29038 Iowa
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 29038 Iowa

Profile Details

NPI number 1689845554
LBN Legal business name Mikkilineni, Devi Jayanthi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2008
Last updated Nov 3rd, 2011 - about 13 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 1689845554 NPPES
Iowa MEDICAID 1689845554
Iowa Other 29038
Iowa Other P00821968

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