Individual
DR. JAYANTH ADUSUMALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
58281
MN
2083P0901X
Public Health & General Preventive Medicine Physician
58281
MN
Other
Enumeration date
08/24/2011
Last updated
08/11/2020
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