Jayaprada Konijeti, M.D.
Individual provider Active NPI General Practice Physician · Brazil, IN
NPI 1891743399 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1891743399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 01038905 (IN)
- Practice address
- 5 S Walnut St
Brazil, IN 47834-2620 - Phone
- (812) 442-5500
- Fax
- (812) 442-5503
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01038905 | IN | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan Koslow M.D.,Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 01038905 | IN | Yes |
Addresses
Primary practice location
5 S Walnut St
Brazil, IN 47834-2620
Mailing address
5 S Walnut St
Brazil, IN 47834-2620
Phone (812) 442-5500
Other providers in Brazil, IN
- Kenneth W Michael
- Kidney and Hypertension Center PC
- Frank A Kiefer
- Kirkman & Associates, Inc
- Shelia Rose Kirkman
- Ashley Nicole Kramer
- Kroger Limited Partnership I
- Roopa Kulkarni
- Laboratory Corporation of America Holdings
- Rachael Lance
All providers in Brazil, IN · General Practice Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.