Individual
TARUN K JELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 S JACKSON ST FL STREET1, LOUISVILLE, KY 40202-1622
(502) 852-0710
Mailing address
550 S JACKSON ST FL STREET1, LOUISVILLE, KY 40202-1622
(502) 852-0710
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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