Individual
DR. JAYARAM REDDY THIMMAPURAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
25 MONUMENT RD, SUITE 140, YORK, PA 17403-5060
(717) 741-8003
(717) 461-7404
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD446140
PA
208M00000X
Hospitalist Physician
Primary
MD446140
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102759492
—
PA
01
—
1613259
GATEWAY
PA
01
—
2730561
HIGHMARK BLUE SHIELD
PA
01
—
30136824
AMERIHEALTH MERCY-WMG
PA
01
—
30153625
AMERIHEALTH CARITAS PA - WMG - AHIM
PA
01
—
418988
UPMC
PA
Enumeration date
08/28/2009
Last updated
09/17/2024
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