| NPI | 1548296429 |
|---|---|
| Professional Name | KOOVAPUDI JAYARAM SHANKAR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M3385) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 249826) |
| 207R00000X Internal Medicine (Licence: TN 43941) | |
| 208M00000X Hospitalist (Licence: MA 249826) | |
| 208M00000X Hospitalist (Licence: TN 43941) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2021-03-23 |