Patla, Jayasree
Patla, Jayasree is an individual health care provider with primary practice located at 10100 Fairfax Blvd , Fairfax VA 22030-2000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Patla, Jayasree can be contacted via phone (703) 679-1876.Contact Information
Primary practice address
10100 Fairfax Blvd
Fairfax VA 22030-2000
Phone: (703) 679-1876
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 0101230586 | Virginia |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101230586 | Virginia |
Profile Details
NPI number | 1851442008 |
---|---|
LBN Legal business name | Patla, Jayasree |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 15th, 2007 |
Last updated | Oct 24th, 2023 - about last year |
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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