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Individual
DR. CHAYAPATHY JOLLU
Active
Individual
DR. CHAYAPATHY JOLLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
26157
WI
208100000X
Physical Medicine & Rehabilitation Physician
4301090436
MI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME99148
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110B210270
BCBS
MI
05
—
1255523551
—
WI
01
—
2502210891
BCBS PPO
MI
Enumeration date
08/10/2007
Last updated
05/12/2023
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