Individual
JAYA BHARATHI PEDDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2801 MISSOURI AVE, SUITE 7, LAS CRUCES, NM 88011-5075
(575) 521-8500
(575) 521-8400
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10030961
TX
207R00000X
Internal Medicine Physician
Primary
T9966
TX
Other
Enumeration date
09/09/2008
Last updated
03/09/2023
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