Individual
JAYARAM NAIDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
605 E 4TH ST, SUITE 300, ODESSA, TX 79761-5100
(432) 337-4347
(432) 337-1657
Mailing address
605 E 4TH ST, SUITE 300, ODESSA, TX 79761-5100
(432) 337-4347
(432) 337-1657
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E6859
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137326808
—
TX
Enumeration date
03/03/2006
Last updated
09/28/2011
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