Individual
JAYANTHI KRISHNAMOORTHY PETERS
Active
Individual
JAYANTHI KRISHNAMOORTHY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01070092A
IN
2084P0800X
Psychiatry Physician
35084122
OH
2084P0800X
Psychiatry Physician
Primary
4301106462
MI
2084P0804X
Child & Adolescent Psychiatry Physician
35084122
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000735742
ANTHEM
IN
05
—
201032310
—
IN
Enumeration date
03/20/2007
Last updated
04/10/2024
Update your record
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