# DR. PRAVEENA USHA JAIDEV

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154707024
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036.144527 | IL | Yes |
| 208M00000X | Hospitalist Physician | 036.144527 | IL | — |
| 208M00000X | Hospitalist Physician | 78386 | AZ | Yes |

## Other

- **Enumeration date:** 08/03/2015
- **Last updated:** 07/28/2026