Naidu, Jayaram
Naidu, Jayaram is an individual health care provider with primary practice located at 605 E 4Th St Suite 300, Odessa TX 79761-5100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Naidu, Jayaram can be contacted via phone (432) 337-4347.Contact Information
Primary practice address
605 E 4Th St Suite 300
Odessa TX 79761-5100
Phone: (432) 337-4347
Fax: (432) 337-1657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | E6859 | Texas |
Profile Details
| NPI number | 1710954292 |
|---|---|
| LBN Legal business name | Naidu, Jayaram |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Sep 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710954292 | NPPES |
| Texas | MEDICAID | 137326808 |
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