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Individual
DR. PRATHAP JAYARAM
Active
Individual
DR. PRATHAP JAYARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
90850
GA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301518122
MI
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
4301518122
MI
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
45938
TX
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
90850
GA
Other
Enumeration date
05/14/2012
Last updated
08/20/2026
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