Individual
DR. LALITHAPRIYA JAYAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6 WELLNESS WAY STE G02, LATHAM, NY 12110-2135
(518) 782-3900
(518) 782-3844
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
390200000X
NJ
2086S0129X
Vascular Surgery Physician
Primary
R2634
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376443301
—
TX
01
—
376443302
CSN
TX
Enumeration date
10/13/2009
Last updated
04/12/2024
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