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Contact Information

JAYASUDHA S PALAVALLI, MD
3553 WHIPPLE RD
UNION CITY, CA94587-1507
 Phone: 510-454-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JAYASUDHA S PALAVALLI · (Female)

NPI Number 1013089846
Status Active
Credentials MD
Entity Individual
Enumeration date 11/15/2006
Last updated 05/26/2015 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A90727
  • CA Medicaid 00A907270
Hospital affiliation(s) Not Available
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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