Provider Demographics
NPI:1770746034
Name:JAYARAJ, HAMSA PATRICIA (MD)
Entity type:Individual
Prefix:DR
First Name:HAMSA
Middle Name:PATRICIA
Last Name:JAYARAJ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8900 SE165TH MULBERRY LANE
Mailing Address - Street 2:VETERAN'S CLINIC
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162
Mailing Address - Country:US
Mailing Address - Phone:352-674-5000
Mailing Address - Fax:352-674-5030
Practice Address - Street 1:8900 SE 165TH MULBERRY LANE
Practice Address - Street 2:VETERANS HEALTH SYSTEM CLINIC
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162
Practice Address - Country:US
Practice Address - Phone:352-674-5000
Practice Address - Fax:352-674-5030
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT021952207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine