Individual
DR. JAYBALAN R. MOODLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
960 S PROSPECT ST, MARION, OH 43302-6225
(740) 383-2776
Mailing address
960 S PROSPECT ST, MARION, OH 43302-6225
(740) 383-2776
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35067976
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120069
—
OH
Enumeration date
06/30/2006
Last updated
07/24/2024
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