Racha, Jyothi
Racha, Jyothi is an individual health care provider with primary practice located at 4100 College Ave , Ellicott City MD 21043-5506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Racha, Jyothi can be contacted via phone (443) 364-5500.Contact Information
Primary practice address
4100 College Ave
Ellicott City MD 21043-5506
Phone: (443) 364-5500
Fax: (443) 364-5501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D0062956 | Maryland |
Profile Details
| NPI number | 1760567523 |
|---|---|
| LBN Legal business name | Racha, Jyothi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Feb 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760567523 | NPPES |
| Maryland | MEDICAID | 409207400 |
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