Individual provider · NPI-1

Smija Jayaprakash, md

Pediatrics, Adolescent Medicine · Stockton, CA

NPI number1710290648
StatusActive
Last updated in NPPESOct 29, 2015

Details

NPI
1710290648
Entity type
Individual (NPI-1)
Name
Smija Jayaprakash
Credential
md
Sex
Female
Sole proprietor
No
Enumeration date
Jul 20, 2010
Last updated
Oct 29, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080A0000X Pediatrics, Adolescent MedicineA125663CAYes

Practice location

7210 Murray Drive
Stockton, CA 95201

Phone 209-373-2800

Mailing address

2460 Canyon Lakes Drive
San Ramon, CA 94582

Phone 408-329-0505

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