Individual
PRAVEEN JAYAKUMAR
Active
Individual
PRAVEEN JAYAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15182
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15182
NV MEDICAL LICENSE
NV
Enumeration date
07/10/2007
Last updated
03/22/2024
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