George-Abraham, Jaya Kanniakonil
George-Abraham, Jaya Kanniakonil is an individual health care provider with primary practice located at 6811 Austin Center Blvd Ste 400 , Austin TX 78731-3157. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as her primary health care specialty. George-Abraham, Jaya Kanniakonil can be contacted via phone (512) 628-1840.Contact Information
Primary practice address
6811 Austin Center Blvd Ste 400
Austin TX 78731-3157
Phone: (512) 628-1840
Fax: (512) 628-1841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | N3665 | Texas |
Profile Details
| NPI number | 1063616621 |
|---|---|
| LBN Legal business name | George-Abraham, Jaya Kanniakonil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2007 |
| Last updated | May 12th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063616621 | NPPES |
| Texas | MEDICAID | 288021301 |
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