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Jaya Reddy Kothapally, MD
Student in an Organized Health Care Education/Training Program in Willingboro, New Jersey
NPI 1790894954

Jaya Reddy Kothapally is a Student in an Organized Health Care Education/Training Program based in Willingboro, NJ. Jaya Reddy Kothapally practices in Willingboro, NJ and has the professional credentials of MD. The NPI Number for Jaya Reddy Kothapally is 1790894954 and holds a License No. 25MA08944000 (New Jersey).

The current practice location address for Jaya Reddy Kothapally is 218 C. Sunset Road, Willingboro, NJ and can be reached out via phone at 609-877-0400 and via fax at 609-877-3542.

Location: 218 C. Sunset Road, Willingboro, NJ, 08046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790894954
Provider Name
Jaya Reddy Kothapally
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
218 C. Sunset Road, Willingboro, NJ, 08046
Phone Number
609-877-0400
Fax Number
609-877-3542
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
25MA08944000 01 NJ MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
218 C. Sunset Road
City
Willingboro
State
New Jersey
Zip
08046
Phone Number
609-877-0400
Fax Number
609-877-3542
person
Provider Business Mailing Address Details
Address
218 C. Sunset Road
City
Willingboro
State
New Jersey
Zip
08046
Phone Number
609-877-0400
Fax Number
609-877-3542
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Endocrinology, Diabetes & Metabolism
Taxonomy
207RE0101X
License No.
2006012190 (Missouri)
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
25MA08944000 (New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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