Provider Demographics
NPI:1225559909
Name:LENKA, JYOTIRMAYEE (MD, MBBS)
Entity Type:Individual
Prefix:
First Name:JYOTIRMAYEE
Middle Name:
Last Name:LENKA
Suffix:
Gender:F
Credentials:MD, MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3111 EAST FOURTH STREET
Mailing Address - Street 2:APT #114
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716
Mailing Address - Country:US
Mailing Address - Phone:213-884-5130
Mailing Address - Fax:
Practice Address - Street 1:1501 NORTH CAMPBELL DRIVE
Practice Address - Street 2:DIVISION OF PULMONARY CRITICAL CARE & SLEEP MEDICINE
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-5030
Practice Address - Country:US
Practice Address - Phone:520-626-6114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-03
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program