Individual ProviderJaya Lakshmi EdpugantiInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address506 6th St, Dept. Of Anesthesiology, Brooklyn, NY 11215-3609(718) 780-3279PECOS EnrollmentBased on the most recent information from CMS, provider Jaya Lakshmi Edpuganti does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1497972699Provider TypeIndividualFull NameEdpuganti, Jaya LakshmiTitleDr.CredentialMDGenderFemaleSole ProprietorYesEnumeration Date4/19/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address506 6th St, Dept. Of Anesthesiology, Brooklyn, NY 11215-3609Phone(718) 780-3279Fax(718) 780-3281Mailing LocationMailing Address4240 Bowne St Apt 3l, Flushing, NY 11355-2870PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseP79984New York