Individual
DR. DINESH JAYADEVAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2585 HERSCHEL ST, JACKSONVILLE, FL 32204-4557
(904) 388-2678
(904) 388-6776
Mailing address
2585 HERSCHEL ST, JACKSONVILLE, FL 32204-4557
(904) 388-2678
(904) 388-6776
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME75854
FL
207RN0300X
Nephrology Physician
Primary
ME75854
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254999900
—
FL
Enumeration date
02/22/2006
Last updated
03/17/2023
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