Jairaj, Suryanarayan
Jairaj, Suryanarayan is an individual health care provider with primary practice located at 3601 Sw 160Th Ave Suite 250, Miramar FL 33027-6308. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Jairaj, Suryanarayan can be contacted via phone (877) 866-7123.Contact Information
Primary practice address
3601 Sw 160Th Ave Suite 250
Miramar FL 33027-6308
Phone: (877) 866-7123
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD035435L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD035435L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD035435L | Pennsylvania |
Profile Details
| NPI number | 1003808734 |
|---|---|
| LBN Legal business name | Jairaj, Suryanarayan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | May 17th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003808734 | NPPES |
| Pennsylvania | MEDICAID | 0007208430001 |
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