Individual
JAYESH BHARAT BODALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 354-3510
(912) 356-3391
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 354-3510
(912) 356-3391
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
004917
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206121990A
—
GA
01
—
CK6241
MEDICARE RAILROAD
GA
Enumeration date
02/09/2007
Last updated
01/16/2016
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