Individual
GAYATRI JAYARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 DATES DR, ITHACA, NY 14850
(607) 274-4324
Mailing address
75 FRANCIS STREET, BWH, RENAL DIVISION, BOSTON, MA 02115
(617) 732-5802
(617) 732-6392
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
266650
NY
207RN0300X
Nephrology Physician
Primary
266650-1
NY
208M00000X
Hospitalist Physician
266650
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2009
Last updated
09/05/2018
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