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Individual

DR. VIJAY JAYARAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8530 W CHARLESTON BLVD, STE 230, LAS VEGAS, NV 89117-1308
(702) 483-4493
(702) 483-4493
Mailing address
8530 W CHARLESTON BLVD, STE 230, LAS VEGAS, NV 89117-1308
(702) 483-4493
(702) 483-4493

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14470
NV
207RG0100X
Gastroenterology Physician
Primary
14470
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1811195092
NV
01
VWQBHV
GROUP MEDICARE#
NV
Enumeration date
07/10/2007
Last updated
02/21/2017
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