Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jayakumar Thotambilu, Physician, PC

Organization Specialist · NPI 1457629453

Jayakumar Thotambilu, Physician, PC is a Specialist in Fulton, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

522 S 4th St Ste 1300
Fulton, NY 13069-2946
Phone: (315) 592-4000
Fax: (315) 593-3222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 001219 (NY)

Record details

NPI number1457629453
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jayakumar Thotambilu — Owner/Physician · (315) 592-4000
NPI enumeratedDecember 5, 2011
Last updated in NPPESDecember 5, 2011
Mailing address522 S 4th St, Suite 1300, Fulton, NY 13069-2946

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