Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | L.4913SP | AL |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | L4263F | AL |
NPI | 1477911816 |
---|---|
Provider Name | Dr. Harishanker Jeyarajan |
First Address | Birmingham, AL 35205-3756 |
Second Address | Birmingham, AL 35205-3756 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2016 |
Last Update Date | 08/07/2019 |