Individual
ABHISHEK BHARI JAYADEVAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-4000
(432) 640-4606
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-2408
(432) 640-4606
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD451728
PA
207L00000X
Anesthesiology Physician
Primary
Q7646
TX
Other
Enumeration date
07/24/2010
Last updated
07/01/2016
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