Individual
GOLLAVELLI JYOTHI KRISHNA
Active
Individual
GOLLAVELLI JYOTHI KRISHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
193726
NY
2084P0800X
Psychiatry Physician
Primary
P1190
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01688384
—
NY
Enumeration date
06/20/2008
Last updated
03/10/2016
Update your record
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