Provider Demographics
NPI:1033146204
Name:JOLAPARA, PANNA KALYANJI (MD)
Entity Type:Individual
Prefix:DR
First Name:PANNA
Middle Name:KALYANJI
Last Name:JOLAPARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:18 CAPANO DRIVE
Mailing Address - Street 2:APT C4
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702
Mailing Address - Country:US
Mailing Address - Phone:302-292-8693
Mailing Address - Fax:302-292-8693
Practice Address - Street 1:18 CAPANO DRIVE
Practice Address - Street 2:APT C4
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702
Practice Address - Country:US
Practice Address - Phone:302-292-8693
Practice Address - Fax:302-292-8693
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC100076142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry