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Individual

DR. JAYARAMAKRISHNA DEPA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
50838
KY
390200000X
Student in an Organized Health Care Education/Training Program
P01687
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100528570
KY
Enumeration date
07/17/2013
Last updated
08/04/2026
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