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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMUDHAN JYOTHIDASAN, M.D.

Active

AMUDHAN JYOTHIDASAN, M.D. is a Hospice and Palliative Medicine healthcare provider located in FAYETTEVILLE, North Carolina. NPI 1619282365 is currently active in the NPPES registry. Verify at CMS.

Hospice and Palliative Medicine · FAYETTEVILLE, NC

Registration Details

NPI Number
1619282365
Provider Type
Individual
Gender
Male
NPI Issued
Aug 18, 2010 (16.024203962851 yrs)
Last Updated
Jul 21, 2022
Licenses
245539 (MA)
2017-01125 (NC)

Practice Information

Address
3634 CAPE CENTER DR
FAYETTEVILLE, NC, 283044406
Browse NC providers · Browse ZIP 28304
Phone
9104856470
Primary Specialty
Hospice and Palliative Medicine
207RI0011X

Other Hospice and Palliative Medicine Providers in FAYETTEVILLE, NC

Name Credential NPI
DR. MICHAEL JOHN MILLER MD 1194719559
FRANK A FEDELE MD 1972587996
DR. MANESH THOMAS MD 1962460550
DR. DIVYANG R PATEL M.D. 1134147796
MATTHEW AMIEBI DAKA M.D 1598985715
SURIYA BANDARA JAYAWARDENA MD 1336338268
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.