Jayaram, Bhavana
Jayaram, Bhavana is an individual health care provider with primary practice located at 73C Winthrop Ave , Lawrence MA 01843-3716. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Jayaram, Bhavana can be contacted via phone (978) 725-6525.Contact Information
Primary practice address
73C Winthrop Ave
Lawrence MA 01843-3716
Phone: (978) 725-6525
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 21404 | Massachusetts |
Profile Details
| NPI number | 1194873489 |
|---|---|
| LBN Legal business name | Jayaram, Bhavana |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Dec 28th, 2010 - about 15 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 | 1194873489 | NPPES |
| Massachusetts | MEDICAID | 0204803 | |
| Massachusetts | MEDICAID | 30303623 |
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