Juturi, Jaya Vanisti
Juturi, Jaya Vanisti is an individual health care provider with primary practice located at 8220 Walnut Hill Ln Suite 700, Dallas TX 75231-4427. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Juturi, Jaya Vanisti can be contacted via phone (214) 739-4175.Contact Information
Primary practice address
8220 Walnut Hill Ln Suite 700
Dallas TX 75231-4427
Phone: (214) 739-4175
Fax: (214) 987-4161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | L2957 | Texas |
Profile Details
| NPI number | 1710976626 |
|---|---|
| LBN Legal business name | Juturi, Jaya Vanisti |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Mar 11th, 2010 - about 16 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 | 1710976626 | NPPES |
| Texas | MEDICAID | 148695302 | |
| Texas | Other | 8CA989 | |
| Texas | Other | P00789794 | |
| Texas | MEDICAID | 148695303 | |
| Texas | MEDICAID | 148695301 |
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