Individual
JAYAPRAKASH SREENARASIMHAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 TUSCAN DR STE 110, IRVING, TX 75039-3838
(214) 496-1100
(214) 496-1110
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-8600
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
L4730
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151465501
—
TX
Enumeration date
04/28/2006
Last updated
05/06/2019
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