Provider Demographics
NPI:1346469186
Name:SUNDARARAJAN, JAYASHREE (MD)
Entity Type:Individual
Prefix:
First Name:JAYASHREE
Middle Name:
Last Name:SUNDARARAJAN
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 1:1020 WESCOE
Mailing Address - Street 2:C/O DEBBIE JURSCH
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-0001
Mailing Address - Country:US
Mailing Address - Phone:913-588-6972
Mailing Address - Fax:913-588-1811
Practice Address - Street 1:1020 WESCOE
Practice Address - Street 2:C/O DEBBIE JURSCH
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-6972
Practice Address - Fax:913-588-1811
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04347252084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology