Individual
JAYA PRAVEEN KUMAR PENAGALURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 W 8TH AVE STE 450E, SPOKANE, WA 99204-2302
(509) 474-6920
(509) 474-3014
Mailing address
105 W 8TH AVE STE 450E, SPOKANE, WA 99204-2302
(509) 474-6920
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M13830
ID
Other
Enumeration date
07/17/2009
Last updated
01/21/2025
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