Individual
JUAN R JARAMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8401 HARCOURT RD, INDIANAPOLIS, IN 46260-2036
(317) 338-4600
Mailing address
8401 HARCOURT RD, INDIANAPOLIS, IN 46260-2036
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01081538A
IN
2084P0800X
Psychiatry Physician
30154
TN
2084P0800X
Psychiatry Physician
49535
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KY
Enumeration date
08/24/2006
Last updated
02/22/2024
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