Jayaram, Nadubeethi

Jayaram, Nadubeethi is an individual health care provider with primary practice located at 11 Ralph Pl Suite 102 Richmond Orthopaedics, Staten Island NY 10304-4419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Jayaram, Nadubeethi can be contacted via phone (718) 447-6545.

Contact Information

Primary practice address
11 Ralph Pl Suite 102 Richmond Orthopaedics Staten Island NY 10304-4419
Phone: (718) 447-6545
Fax: (718) 447-5297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 138690 New York

Profile Details

NPI number 1033103882
LBN Legal business name Jayaram, Nadubeethi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Nov 15th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033103882 NPPES
New York MEDICAID 01838683

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