National Provider Identifier Database

SMIJA JAYAPRAKASH, MD – NPI #1710290648
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

SMIJA JAYAPRAKASH, MD
7210 MURRAY DRIVE
STOCKTON, CA95201
Phone: 209-373-2800
Fax:
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for SMIJA JAYAPRAKASH

NPI Number 1710290648
Credentials MD
Entity Individual
Enumeration date 07/20/2010
Last updated 10/29/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • CA License #: A125663
  • CA Other: AI25663 CALIFORNIA LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for SMIJA JAYAPRAKASH, MD

There are currently no reviews for SMIJA JAYAPRAKASH, MD


NPIdb - Home
v2.201