Venkatesh, Jayashree

Venkatesh, Jayashree is an individual health care provider with primary practice located at 1435 Broadmoor Blvd Kaiser Permanente Sugar Hill-Buford Medical Center, Sugar Hill GA 30518. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Venkatesh, Jayashree can be contacted via phone (678) 765-5700.

Contact Information

Primary practice address
1435 Broadmoor Blvd Kaiser Permanente Sugar Hill-Buford Medical Center Sugar Hill GA 30518
Fax: (540) 636-8920
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101237911 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 065912 Georgia

Profile Details

NPI number 1851366454
LBN Legal business name Venkatesh, Jayashree
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Mar 7th, 2022 - about last year

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 1851366454 NPPES
Virginia Other P00670504 MEDICARE RR
Virginia MEDICAID 010147735 MEDICARE RR

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