Dr. Jeevan Chaythan Gowda, MD
Internal Medicine in Lake Jackson, TX. Individual provider (NPI-1).
NPI number1881862027
StatusActive
Last updated in NPPESDec 18, 2020
Details
- NPI
- 1881862027
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeevan Chaythan Gowda
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 11, 2008
- Certification date
- Dec 18, 2020
- Last updated
- Dec 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 430084523 | MI | Yes |
Practice location
135 Oyster Creek Dr Ste ELake Jackson, TX 77566-4119
Phone 979-297-3387 · Fax 979-297-3387
Mailing address
135 Oyster Creek Dr Ste ELake Jackson, TX 77566-4119
Phone 979-297-3387 · Fax 979-297-3387
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