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NPI Code Detail

MEDICARE: SUJATA Y JARUGULA

MEDICARE:   SUJATA Y JARUGULA
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
1225100000XPhysical Therapist100072IA

General Provider Information

NPI Number : 1942981717
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUJATA Y JARUGULA
Provider Business Mailing Address
First Line : 4235 COLD SPRING CT
Second Line :
City : CUMMING
State : GA
Zip : 30041-5865
Country : US
Telephone Number : 319-774-9411
Fax Number :
Provider Business Practice Location Address
First Line : 5722 CLARION ST
Second Line :
City : CUMMING
State : GA
Zip : 30040-0306
Country : US
Telephone Number : 319-774-9411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2023
Last Update Date : 07/26/2023

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Directions to “ SUJATA Y JARUGULA ” Practice Location

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