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Individual

MISS MIKAELA JAYASHEKARAMURTHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M. D.

Contact information

Practice address
5501 OLD YORK RD STE 3006, PHILADELPHIA, PA 19141-3018
(215) 456-7979
(215) 456-8539
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-1825
(215) 456-5926

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD465472
PA
207R00000X
Internal Medicine Physician
MT206901
PA

Other

Enumeration date
05/15/2014
Last updated
08/21/2025
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