Individual
JAYANTHI KRISHNAMOORTHY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 559-5896
Mailing address
250 N SHADELAND AVE, SUITE 130, INDIANAPOLIS, IN 46219-4959
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us