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Individual
DEEPA R JAYARAM
Active
Individual
DEEPA R JAYARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301094006
MI
207RN0300X
Nephrology Physician
30870
AZ
207RN0300X
Nephrology Physician
4301094006
MI
207RN0300X
Nephrology Physician
Primary
69997
CT
Other
Enumeration date
03/10/2009
Last updated
09/11/2023
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