Jayaraman, Sundar
Jayaraman, Sundar is an individual health care provider with primary practice located at 32-36 Harrison St , Johnson City NY 13790-2122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Jayaraman, Sundar can be contacted via phone (607) 217-1021.Contact Information
Primary practice address
32-36 Harrison St
Johnson City NY 13790-2122
Phone: (607) 217-1021
Fax: (305) 441-2144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 218937 | New York |
Profile Details
| NPI number | 1780669861 |
|---|---|
| LBN Legal business name | Jayaraman, Sundar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2005 |
| Last updated | Apr 27th, 2012 - about 12 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 | 1780669861 | NPPES |
| New York | MEDICAID | 02611030 |
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