Racha, Jyothi

Racha, Jyothi is an individual health care provider with primary practice located at 4100 College Ave , Ellicott City MD 21043-5506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Racha, Jyothi can be contacted via phone (443) 364-5500.

Contact Information

Primary practice address
4100 College Ave Ellicott City MD 21043-5506
Phone: (443) 364-5500
Fax: (443) 364-5501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X D0062956 Maryland

Profile Details

NPI number 1760567523
LBN Legal business name Racha, Jyothi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Feb 3rd, 2014 - about 12 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 1760567523 NPPES
Maryland MEDICAID 409207400

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