Donepudi, Jyotsna

Donepudi, Jyotsna is an individual health care provider with primary practice located at 816 W Cannon St , Fort Worth TX 76104-3146. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is her primary health care specialty. Donepudi, Jyotsna can be contacted via phone (817) 321-0387.

Contact Information

Primary practice address
816 W Cannon St Fort Worth TX 76104-3146
Phone: (817) 321-0387
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X P1635 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Arkansas
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X P1635 Texas

Profile Details

NPI number 1740303429
LBN Legal business name Donepudi, Jyotsna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Jun 3rd, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740303429 NPPES
Texas Other 752616977007 TRICARE
Texas MEDICAID 121715008 TRICARE
Texas MEDICAID 121715004 TRICARE
Texas MEDICAID 285250104 TRICARE
Texas Other 8DG779 TRICARE
Texas MEDICAID 305112001 TRICARE

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