Pinnaka, Jyothishree Rao

Pinnaka, Jyothishree Rao is an sole proprietor health care provider with primary practice located at 53 Danner Ct Apt 101 Apt # 101, Memphis TN 38103-5992. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Pinnaka, Jyothishree Rao can be contacted via phone (508) 450-6607.

Contact Information

Primary practice address
53 Danner Ct Apt 101 Apt # 101 Memphis TN 38103-5992
Phone: (508) 450-6607
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 223154 Massachusetts
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 48655 Tennessee

Profile Details

NPI number 1740279942
LBN Legal business name Pinnaka, Jyothishree Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Jun 21st, 2013 - about 11 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 1740279942 NPPES
Massachusetts MEDICAID 2100096

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