Provider Demographics
NPI:1790004638
Name:HARIHARAN, JAYARAM S (MD)
Entity Type:Individual
Prefix:DR
First Name:JAYARAM
Middle Name:S
Last Name:HARIHARAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1450 TREAT BLVD
Mailing Address - Street 2:STE 300
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-2168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5601 NORRIS CANYON RD
Practice Address - Street 2:#200
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-5407
Practice Address - Country:US
Practice Address - Phone:925-277-3070
Practice Address - Fax:925-866-8205
Is Sole Proprietor?:No
Enumeration Date:2010-05-18
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA111419207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine