Yelleshpur Jayaram
Family Doctor - Adult Medicine
Bldg 2250 ,New Jersey Ave
Ft Dix
, New Jersey 08640
Yelleshpur Jayaram
Family Doctor - Adult Medicine
Bldg 2250 ,New Jersey Ave
Ft Dix
, New Jersey 08640
(609) 562-3153
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Yelleshpur Jayaram
- 15 Longfellow Ln
- Hainesport, NJ
- Zip : 08036-3726
- Fax : (609) 562-3153
- Phone : (609) 562-2073
Second Address
- Yelleshpur Jayaram
- Bldg 2250 ,New Jersey Ave
- Ft Dix, NJ
- Zip : 08640
- Fax : (609) 562-3153
- Phone : (609) 562-2073
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Is Yelleshpur Jayaram a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 109909 | NY |
National Provider Identifier
| NPI | 1093787582 |
|---|---|
| Provider Name | Yelleshpur Jayaram |
| First Address | Hainesport, NJ 08036-3726 |
| Second Address | Ft Dix, NJ 08640 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D91585 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.