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Individual

MAHESH JAYARAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5174
(401) 921-9212
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 921-9212

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
12030
RI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
12030
RI
2085R0204X
Vascular & Interventional Radiology Physician
227635
MA

Other

Enumeration date
07/21/2006
Last updated
03/15/2024
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