Organization
JAYALAKSHMI PAMPATI MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYALAKSHMI PAMPATI MD (OWNER)
(606) 439-2662
Entity
Organization
Contact information
Practice address
1908 N MAIN ST, HAZARD, KY 41701-2505
(606) 439-2662
(606) 439-0612
Mailing address
PO BOX 697, HAZARD, KY 41702-0697
(606) 439-2662
(606) 439-0612
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65936015
—
KY
Enumeration date
06/20/2007
Last updated
05/14/2008
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