Basic Information
| Provider Information | |||||||||
| NPI: | 1225559909 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LENKA | ||||||||
| FirstName: | JYOTIRMAYEE | ||||||||
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| Credential: | MD, MBBS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3111 EAST FOURTH STREET | ||||||||
| Address2: | APT #114 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85716 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2138845130 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1501 NORTH CAMPBELL DRIVE | ||||||||
| Address2: | DIVISION OF PULMONARY CRITICAL CARE & SLEEP MEDICINE | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857245030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5206266114 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/03/2017 | ||||||||
| LastUpdateDate: | 06/26/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/26/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.