Individual
JATAN RAYTHATHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
742 S GOVERNORS AVE, SUITE 3, DOVER, DE 19904-4111
(302) 678-5008
(302) 678-5505
Mailing address
742 S GOVERNORS AVE, SUITE 3, DOVER, DE 19904-4111
(302) 678-5008
(302) 678-5505
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C5-0001132
DE
Other
Enumeration date
10/18/2016
Last updated
04/17/2017
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