Jaya Durvasula

NPI #1386209906 in Andover, Minnesota

Provider Information

NPI Number: 1386209906
Entity Type: Individual
Name: Jaya Durvasula
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: May 8, 2019
Last Updated: Oct 20, 2022

Practice Location

Address: 15245 BLUEBIRD ST NW
City: Andover
State: Minnesota
ZIP Code: 55304-3538
Phone: (763) 587-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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