Jaya Praveen Kumar Penagaluri
Jaya Praveen Kumar Penagaluri is a Psychiatry Physician in Spokane, Washington. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2009
Practice location Address checks out
105 W 8th Ave Ste 450ESpokane, WA 99204-2302
Phone: (509) 474-6920
Fax: (509) 474-3014
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Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence M13830 (ID) |
|---|
Record details
| NPI number | 1124258645 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 17, 2009 |
| Last updated in NPPES | January 21, 2025 |
| Certification date | January 21, 2025 |
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