Provider Demographics
NPI:1497440440
Name:JEYARAJAN, ABIHIRAMI
Entity Type:Individual
Prefix:DR
First Name:ABIHIRAMI
Middle Name:
Last Name:JEYARAJAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4848 E ROOSEVELT ST APT 1004
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-7329
Mailing Address - Country:US
Mailing Address - Phone:571-662-6008
Mailing Address - Fax:
Practice Address - Street 1:6932 WILLIAMS RD STE 200
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-3071
Practice Address - Country:US
Practice Address - Phone:716-297-8260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program