Individual
PRAKASH JAYANTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3131 E CLARENDON AVE STE 102, PHOENIX, AZ 85016-7069
(602) 253-9168
(602) 251-3126
Mailing address
3131 E CLARENDON AVE STE 102, PHOENIX, AZ 85016-7069
(602) 253-9168
(602) 251-3126
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01086267A
IN
208600000X
Surgery Physician
4301108382
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
77631
AZ
Other
Enumeration date
07/06/2015
Last updated
10/31/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us