Shanmugam, Jaya Prasad
Shanmugam, Jaya Prasad is an individual health care provider with primary practice located at 203 Watson St Ste 300 , Pratt KS 67124-3092. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Shanmugam, Jaya Prasad can be contacted via phone (620) 672-1002.Contact Information
Primary practice address
203 Watson St Ste 300
Pratt KS 67124-3092
Phone: (620) 672-1002
Fax: (620) 450-1741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | 310210 | Louisiana |
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | R-10460 | Iowa |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 04-43900 | Kansas |
Profile Details
| NPI number | 1013466598 |
|---|---|
| LBN Legal business name | Shanmugam, Jaya Prasad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2016 |
| Last updated | Apr 6th, 2021 - about 5 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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