Jayadevappa, Dinesh

Jayadevappa, Dinesh is an individual health care provider with primary practice located at 2585 Herschel St , Jacksonville FL 32204-4557. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Jayadevappa, Dinesh can be contacted via phone (904) 388-2678.

Contact Information

Primary practice address
2585 Herschel St Jacksonville FL 32204-4557
Phone: (904) 388-2678
Fax: (904) 388-6776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME75854 Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME75854 Florida

Profile Details

NPI number 1467427492
LBN Legal business name Jayadevappa, Dinesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Mar 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467427492 NPPES
Florida MEDICAID 254999900

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