Individual
DR. JAYASHREE PAYAPPAGOUDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6600 MADISON ST FL 2, NEW PORT RICHEY, FL 34652-1971
(727) 815-7208
(727) 266-4951
Mailing address
6600 MADISON ST FL 2, NEW PORT RICHEY, FL 34652-1971
(727) 815-7208
(727) 266-4951
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101255894
VA
207Q00000X
Family Medicine Physician
ME125088
FL
208M00000X
Hospitalist Physician
Primary
ME125088
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018755500
—
FL
Enumeration date
04/01/2011
Last updated
10/03/2022
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