Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAYA DURVASULA
ActiveJAYA DURVASULA is a Family Medicine healthcare provider located in ANDOVER, Minnesota. NPI 1386209906 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ANDOVER, MN
Registration Details
- NPI Number
- 1386209906
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2019 (7.2692495727742 yrs)
- Last Updated
- Oct 20, 2022
- License
-
71239 (MN)
Practice Information
- Address
-
15245 BLUEBIRD ST NWANDOVER, MN, 553043538Browse MN providers · Browse ZIP 55304
- Phone
- 7635874600
- Fax
- 7635874615
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in ANDOVER, MN
| Name | Credential | NPI |
|---|---|---|
| JOHN W GFRERER | MD | 1316911530 |
| ROMAN P SMULKA | MD | 1043284268 |
| PAUL J LYSNE | MD | 1912971706 |
| STEVE G. APPLEBAUM | MD | 1033179866 |
| DR. DAVID ROBERT BACHMAN | M.D. | 1881656296 |
| DR. MELISSA KAY CRAIG | M.D. | 1417908609 |
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.