Praveen Jayakumar, M.D.
Internal Medicine in Las Vegas, NV. Individual provider (NPI-1).
NPI number1235337486
StatusActive
Last updated in NPPESMar 22, 2024
Details
- NPI
- 1235337486
- Entity type
- Individual (NPI-1)
- Name
- Praveen Jayakumar
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2007
- Certification date
- Mar 22, 2024
- Last updated
- Mar 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 15182 | NV | Yes |
Practice location
777 N Rainbow Blvd Ste 350Las Vegas, NV 89107-1188
Phone 480-494-2465
Mailing address
161 E Rivulon Blvd Ste 210Gilbert, AZ 85297-0087
Phone 480-244-1724
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