Individual
DR. JYOTHI DYAVANAPALLI GUDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4808 MUNSON ST NW, CANTON, OH 44718-3613
(330) 622-0207
(330) 832-3499
Mailing address
4808 MUNSON ST NW, CANTON, OH 44718-3613
(330) 460-4115
(330) 832-3499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-083145
OH
207R00000X
Internal Medicine Physician
35.083145
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35.083145
OH
208M00000X
Hospitalist Physician
35-083145
OH
Other
Enumeration date
01/04/2007
Last updated
11/19/2024
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