Provider Demographics
NPI:1043061336
Name:DR. JAYARAMAN PLLC
Entity Type:Organization
Organization Name:DR. JAYARAMAN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAYAKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:JAYARAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:210-589-2808
Mailing Address - Street 1:5311 PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-2041
Mailing Address - Country:US
Mailing Address - Phone:804-282-6665
Mailing Address - Fax:804-288-5875
Practice Address - Street 1:5311 PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-2041
Practice Address - Country:US
Practice Address - Phone:804-282-6665
Practice Address - Fax:804-288-5875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty