Provider Demographics
NPI:1881651396
Name:JAYAKAR, PARUL B (MD)
Entity Type:Individual
Prefix:DR
First Name:PARUL
Middle Name:B
Last Name:JAYAKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3100 SW 62ND AVE
Mailing Address - Street 2:BRAIN INSTITUTE
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3009
Mailing Address - Country:US
Mailing Address - Phone:786-624-4717
Mailing Address - Fax:786-624-4704
Practice Address - Street 1:3100 SW 62ND AVE
Practice Address - Street 2:BRAIN INSTITUTE
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3009
Practice Address - Country:US
Practice Address - Phone:786-624-4717
Practice Address - Fax:786-624-4704
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME66723207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL379072000Medicaid