Chadalavada, Jaya K

Chadalavada, Jaya K is an individual health care provider with primary practice located at 400 Rosalind Redfern Grover Pkwy , Midland TX 79701-5846. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Chadalavada, Jaya K can be contacted via phone (432) 221-1111.

Contact Information

Primary practice address
400 Rosalind Redfern Grover Pkwy Midland TX 79701-5846
Phone: (432) 221-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01062851A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01062851A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X P8346 Texas

Profile Details

NPI number 1710180666
LBN Legal business name Chadalavada, Jaya K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Aug 15th, 2022 - about 4 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 1710180666 NPPES
Indiana MEDICAID 200864110
Indiana MEDICAID 200864110A

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