Suryadevara, Jyotirmaie
Suryadevara, Jyotirmaie is an individual health care provider with primary practice located at 3D Den Bn 3D Mlg Unit 38450 , Fpo AP 96373-8450. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Suryadevara, Jyotirmaie can be contacted via phone (973) 641-5433.Contact Information
Primary practice address
3D Den Bn 3D Mlg Unit 38450
Fpo AP 96373-8450
Phone: (973) 641-5433
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 019.034186 | Illinois |
Profile Details
| NPI number | 1023509395 |
|---|---|
| LBN Legal business name | Suryadevara, Jyotirmaie |
| Credentials | DMD, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2018 |
| Last updated | Jul 21st, 2023 - about 2 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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