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Individual
JAYANTHI EMMANUEL WHEELER
Active
Individual
JAYANTHI EMMANUEL WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
12364
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609957372
—
ME
05
—
3075403
—
NH
01
—
P00428678
RR MEDICARE
NH
Enumeration date
10/18/2006
Last updated
02/19/2014
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