MEDICARE: JAYA BINDU MERUGU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	34349	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093979809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYA BINDU MERUGU MD

Provider Business Mailing Address
First Line	:	302 UNIVERSITY PKWY
Second Line	:
City	:	AIKEN
State	:	SC
Zip	:	29801-6302
Country	:	US
Telephone Number	:	803-641-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	655 MEDICAL PARK DR
Second Line	:
City	:	AIKEN
State	:	SC
Zip	:	29801-6415
Country	:	US
Telephone Number	:	803-641-5900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2008
Last Update Date	:	11/16/2015

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Directions to “ JAYA BINDU MERUGU MD” Practice Location

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