Individual
DR. KRISHNARAJ JAYARAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1900 RANDOLPH RD, STE 900, CHARLOTTE, NC 28207-1122
(704) 377-2424
(704) 377-2687
Mailing address
1900 RANDOLPH RD, STE 900, CHARLOTTE, NC 28207-1122
(704) 377-2424
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2008-00763
NC
207P00000X
Emergency Medicine Physician
25MB08253300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909871
—
NC
Enumeration date
01/25/2008
Last updated
05/20/2009
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