Provider Demographics
NPI:1336207422
Name:JAJOOR, NAGARAJ ONKARAPPA (MD)
Entity Type:Individual
Prefix:DR
First Name:NAGARAJ
Middle Name:ONKARAPPA
Last Name:JAJOOR
Suffix:
Gender:M
Credentials:MD
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:427 GUY PARK AVENUE
Mailing Address - Street 2:ST MARYS HOSPITAL BEHAVIORAL HEALTH
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010
Mailing Address - Country:US
Mailing Address - Phone:518-841-7341
Mailing Address - Fax:518-841-7344
Practice Address - Street 1:427 GUY PARK AVENUE
Practice Address - Street 2:ST MARYS HOSPITAL BEHAVIORAL HEALTH
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010
Practice Address - Country:US
Practice Address - Phone:518-841-7341
Practice Address - Fax:518-841-7344
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY17141112084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
B82126Medicare UPIN
NYB70033Medicare ID - Type Unspecified