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Contact Information

JAYA R ASIRVATHAM, MBBS, MD
2401 S 31ST ST
TEMPLE, TX76508-0371
 Phone: 254-724-2111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for JAYA R ASIRVATHAM · (Female)

NPI Number 1184905408
Status Active
Credentials MBBS, MD
Entity Individual
Enumeration date 08/31/2011
Last updated 09/04/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME128310
  • TX License # S4718
  • FL Medicaid 018025500
  • TX Medicaid 407815601
  • TX Other 941227 MEDICARE
Hospital affiliation(s)
  • HILLCREST BAPTIST MEDICAL CENTER - (Acute Care)
    100 HILLCREST MEDICAL BLVD
    WACO, TX 76712
  • SCOTT & WHITE HOSPITAL- COLLEGE STATION - (Acute Care)
    700 SCOTT & WHITE DRIVE
    COLLEGE STATION, TX 77845
  • SCOTT & WHITE HOSPITAL-ROUND ROCK - (Acute Care)
    300 UNIVERSITY BLVD
    ROUND ROCK, TX 78664
  • SCOTT & WHITE MEMORIAL HOSPITAL - (Acute Care)
    2401 31ST ST
    TEMPLE, TX 76508
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.

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