Provider Demographics
NPI:1659576189
Name:ESWARA, JAIRAM R (MD)
Entity type:Individual
Prefix:DR
First Name:JAIRAM
Middle Name:R
Last Name:ESWARA
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Gender:
Credentials:MD
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Mailing Address - Street 1:960 MASSACHUSETTS AVE
Mailing Address - Street 2:FL 2
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2690
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11 NEVINS STREET
Practice Address - Street 2:SUITE 303
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135
Practice Address - Country:US
Practice Address - Phone:617-787-8181
Practice Address - Fax:617-787-4644
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2025-03-13
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Provider Licenses
StateLicense IDTaxonomies
MO2013024713208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology