Jeyaraman, Anuradha

Jeyaraman, Anuradha is an individual health care provider with primary practice located at 4211 Van Dyke Rd Ste 200 , Lutz FL 33558-8005. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Jeyaraman, Anuradha can be contacted via phone (813) 321-6237.

Contact Information

Primary practice address
4211 Van Dyke Rd Ste 200 Lutz FL 33558-8005
Phone: (813) 321-6237
Fax: (813) 463-1801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.090229 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME110489 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35-090229 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME110489 Florida

Profile Details

NPI number 1720274343
LBN Legal business name Jeyaraman, Anuradha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2007
Last updated Oct 3rd, 2022 - about 2 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 1720274343 NPPES
Florida MEDICAID 004869800
Florida MEDICAID 2943579

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