Organization
A R JAYARAM MD A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATTIGUPAM R JAYARAM M.D. (PRESIDENT)
(925) 455-4120
Entity
Organization
Contact information
Practice address
1250 CONCANNON BLVD, LIVERMORE, CA 94550-6002
(925) 455-4120
(925) 455-5020
Mailing address
1250 CONCANNON BLVD, LIVERMORE, CA 94550-6002
(925) 455-4120
(925) 455-5020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A7585
CA
2084N0400X
Neurology Physician
Primary
A25987
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ217762
PTAN
CA
Enumeration date
05/09/2006
Last updated
04/02/2015
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