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NPI Code Detail

MEDICARE: JAYANTI JULURU RAO M.D.

MEDICARE: JAYANTI JULURU RAO M.D.
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
1207R00000XInternal Medicine Physician229860MA
2207K00000XAllergy & Immunology Physician25MA08903400NJ

General Provider Information

NPI Number : 1528146669
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYANTI JULURU RAO M.D.
Provider Business Mailing Address
First Line : 24 VREELAND DR
Second Line :
City : SKILLMAN
State : NJ
Zip : 08558-2621
Country : US
Telephone Number : 609-921-2202
Fax Number : 609-924-1468
Provider Business Practice Location Address
First Line : 24 VREELAND DR
Second Line :
City : SKILLMAN
State : NJ
Zip : 08558-2621
Country : US
Telephone Number : 609-921-2202
Fax Number : 609-924-1468
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2006
Last Update Date : 11/15/2013

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