Jollu, Chayapathy

Jollu, Chayapathy is an individual health care provider with primary practice located at 10238 Sw 86Th Cir Unit 300 , Ocala FL 34481-7625. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Jollu, Chayapathy can be contacted via phone (352) 873-1011.

Contact Information

Primary practice address
10238 Sw 86Th Cir Unit 300 Ocala FL 34481-7625
Phone: (352) 873-1011
Fax: (352) 873-1017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 26157 Wisconsin
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301090436 Michigan
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X ME99148 Florida

Profile Details

NPI number 1255523551
LBN Legal business name Jollu, Chayapathy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255523551 NPPES
Michigan Other 110B210270 BCBS
Michigan MEDICAID 1255523551 BCBS
Michigan Other 2502210891 BCBS

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