Provider Demographics
NPI:1619969482
Name:KARAM, JYOTHEEN S (MD)
Entity Type:Individual
Prefix:
First Name:JYOTHEEN
Middle Name:S
Last Name:KARAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1617 WILLIAMS DR
Mailing Address - Street 2:STE. 200
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-3183
Mailing Address - Country:US
Mailing Address - Phone:615-890-5484
Mailing Address - Fax:615-890-7924
Practice Address - Street 1:1617 WILLIAMS DR
Practice Address - Street 2:STE. 200
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-3183
Practice Address - Country:US
Practice Address - Phone:615-890-5484
Practice Address - Fax:615-890-7924
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40035207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3331617Medicaid
TNH85601Medicare UPIN
TN3331617Medicare ID - Type UnspecifiedMEDICARE, CIGNA, PART B