Individual
VENKATESH BABU JAYARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27 PARK AVE, FIFTH FLOOR, BINGHAMTON, NY 13903-1605
(607) 762-2251
(607) 762-2269
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
263467
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02796472
—
NY
01
—
05208715
ECFMG #
—
Enumeration date
08/20/2006
Last updated
03/28/2014
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