Srinivasiah, Jayanthi

Srinivasiah, Jayanthi is an individual health care provider with primary practice located at 2712 Lawrenceville Hwy , Decatur GA 30033-2512. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Srinivasiah, Jayanthi can be contacted via phone (770) 496-5555.

Contact Information

Primary practice address
2712 Lawrenceville Hwy Decatur GA 30033-2512
Fax: (770) 939-2887
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 033204 Georgia

Profile Details

NPI number 1437137015
LBN Legal business name Srinivasiah, Jayanthi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Aug 18th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437137015 NPPES
Georgia MEDICAID 000543606AN
Georgia MEDICAID 000543606AM
Georgia MEDICAID 000543606AC

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