Krishnan, Jayram
Krishnan, Jayram is an individual health care provider with primary practice located at 136 Route 73 , Voorhees NJ 08043-9598. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Krishnan, Jayram can be contacted via phone (877) 388-2778.Contact Information
Primary practice address
136 Route 73
Voorhees NJ 08043-9598
Phone: (877) 388-2778
Fax: (856) 424-7529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 25MB08869800 | New Jersey |
Profile Details
| NPI number | 1245216605 |
|---|---|
| LBN Legal business name | Krishnan, Jayram |
| Credentials | D.O., M.B.A. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Jul 12th, 2023 - about last year |
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 | 1245216605 | NPPES |
| New Jersey | Other | 25MB08869800 | NJ STATE MEDICAL LICENSE |
| New Jersey | Other | DO1872 | NJ STATE MEDICAL LICENSE |
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