Dave, Rajesh Jayantkrishna

Dave, Rajesh Jayantkrishna is an individual health care provider with primary practice located at 33-57 Harrison St , Johnson City NY 13790-2143. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Dave, Rajesh Jayantkrishna can be contacted via phone (607) 763-6690.

Contact Information

Primary practice address
33-57 Harrison St Johnson City NY 13790-2143
Fax: (607) 763-6524
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 142217 New York

Profile Details

NPI number 1669477832
LBN Legal business name Dave, Rajesh Jayantkrishna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jul 8th, 2007 - about 15 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 1669477832 NPPES
New York MEDICAID 00625961

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