Moodley, Jaybalan R.

Moodley, Jaybalan R. is an individual health care provider with primary practice located at 960 S Prospect St , Marion OH 43302-6225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Moodley, Jaybalan R. can be contacted via phone (740) 383-2776.

Contact Information

Primary practice address
960 S Prospect St Marion OH 43302-6225
Phone: (740) 383-2776
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35067976 Ohio

Profile Details

NPI number 1609805126
LBN Legal business name Moodley, Jaybalan R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jan 16th, 2014 - about 10 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 1609805126 NPPES
Ohio MEDICAID 0120069

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