Individual
JAYANTH R DOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 DUKE MEDICINE CIR, #1J, DURHAM, NC 27710-4000
(919) 668-7400
Mailing address
40 DUKE MEDICINE CIR, #1J, DURHAM, NC 27710-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
237536
MA
207R00000X
Internal Medicine Physician
49126
TN
207RR0500X
Rheumatology Physician
Primary
2015-00711
NC
208M00000X
Hospitalist Physician
49126
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110088961A
—
MA
05
—
1530108
—
TN
01
—
4335875
BLUECROSS BLUESHIELD
TN
01
—
6010856
BCBS
TN
05
—
7100219450
—
KY
Enumeration date
06/24/2008
Last updated
07/01/2015
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