Provider Demographics
NPI:1336140144
Name:JAYARAMAN, ADHI (MD)
Entity Type:Individual
Prefix:DR
First Name:ADHI
Middle Name:
Last Name:JAYARAMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 WHITE BRIDGE PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3208
Mailing Address - Country:US
Mailing Address - Phone:615-356-6877
Mailing Address - Fax:615-356-8270
Practice Address - Street 1:339 WHITE BRIDGE PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-3208
Practice Address - Country:US
Practice Address - Phone:615-356-6877
Practice Address - Fax:615-356-8270
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD19240207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3144714OtherBLUE CROSS BLUE SHIELD TN
TN3832571Medicare PIN
TN38325721Medicare PIN
TN3832570Medicare PIN
D93167Medicare UPIN
TN30430302Medicare PIN