Palacherla, Jithendranath
Palacherla, Jithendranath is an individual health care provider with primary practice located at 1567 Janmar Road Suite 100, Snellville GA 30078. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Palacherla, Jithendranath can be contacted via phone (770) 972-1022.Contact Information
Primary practice address
1567 Janmar Road Suite 100
Snellville GA 30078
Phone: (770) 972-1022
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M0853 | Texas |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 059304 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 059304 | Georgia |
Profile Details
| NPI number | 1346288735 |
|---|---|
| LBN Legal business name | Palacherla, Jithendranath |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Oct 13th, 2020 - about 6 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 | 1346288735 | NPPES |
| Texas | Other | 8R9118 | BLUE SHIELD |
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