Individual
DR. NADUBEETHI JAYARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 RALPH PL, SUITE 102 RICHMOND ORTHOPAEDICS, STATEN ISLAND, NY 10304-4419
(718) 447-6545
(718) 447-5297
Mailing address
11 RALPH PL STE 102, STATEN ISLAND, NY 10304-4405
(718) 447-6545
(718) 447-5297
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
138690
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01838683
—
NY
Enumeration date
09/08/2005
Last updated
11/15/2019
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