Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NITYANANDA RAO JAKKULA, MD
ActiveNITYANANDA RAO JAKKULA, MD is a Orthopaedic Trauma healthcare provider located in ELMHURST, New York. NPI 1225700933 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Trauma · ELMHURST, NY
Registration Details
- NPI Number
- 1225700933
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 30, 2021 (4.8910694615082 yrs)
- Last Updated
- Sep 30, 2021
- Licenses
-
109867 (NY)P109867 (NY)
Practice Information
- Address
-
7901 BROADWAY DEPT OFELMHURST, NY, 113731329Browse NY providers · Browse ZIP 11373
- Phone
- 6623945006
- Primary Specialty
-
Orthopaedic Trauma
207XX0801X
- Additional Specialty
- Orthopaedic Trauma
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.