Provider Demographics
NPI:1730481177
Name:AMARAM-DAVILA, JAYA SHEELA (MD)
Entity Type:Individual
Prefix:
First Name:JAYA
Middle Name:SHEELA
Last Name:AMARAM-DAVILA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JAYA
Other - Middle Name:SHEELA
Other - Last Name:AMARAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1515 HOLCOMBE BLVD
Mailing Address - Street 2:UNIT 1465
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-745-4516
Mailing Address - Fax:713-563-4491
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-792-5496
Practice Address - Fax:713-792-3065
Is Sole Proprietor?:No
Enumeration Date:2010-11-17
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRS2010-0598207R00000X
TXQ7313207R00000X
MA258109207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine