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

Jaya Wadhawan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033603279

Jaya Wadhawan is a Pediatric Medicine in Mankato, Minnesota. Qualified in 2018, 8 years ago. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2018
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1421 Premier Dr
Mankato, MN 56001-6076
Phone: (507) 625-1811
Fax: (507) 345-1319
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 81557 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033603279
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 20, 2018
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing addressPo Box 8674, Mankato, MN 56002-8674

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Mankato