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
Fax: (432) 337-1657
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710954292 NPPES
Texas MEDICAID 137326808

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