Individual
DR. JOLAIYA Y FATUROTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FACOG
Contact information
Practice address
1400 N COIT RD STE 1504, MCKINNEY, TX 75071-6660
(469) 215-1647
Mailing address
2116 AUSTIN LN, PROSPER, TX 75078-1657
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A166250
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
S1201
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036149931
—
IL
01
—
F400593349
MEDICARE PTAN
IL
Enumeration date
04/28/2014
Last updated
08/09/2024
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