Organization
JAIARKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATA DURVASULA (MD)
(870) 639-8105
Entity
Organization
Contact information
Practice address
403 W OAK ST STE 105, EL DORADO, AR 71730-4573
(870) 639-8105
Mailing address
403 W OAK ST STE 105, EL DORADO, AR 71730-4573
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
09/27/2022
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