Provider Demographics
NPI:1659576189
Name:ESWARA, JAIRAM R (MD)
Entity Type:Individual
Prefix:DR
First Name:JAIRAM
Middle Name:R
Last Name:ESWARA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:45 FRANCIS STREET, ASB-III
Mailing Address - Street 2:BRIGHAM AND WOMEN'S HOSPITAL, DIVISION OF UROLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6105
Mailing Address - Country:US
Mailing Address - Phone:617-732-2000
Mailing Address - Fax:
Practice Address - Street 1:45 FRANCIS STREET, ASB-III
Practice Address - Street 2:BRIGHAM AND WOMEN'S HOSPITAL, DIVISION OF UROLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6105
Practice Address - Country:US
Practice Address - Phone:617-732-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2013024713208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology