Provider Demographics
NPI:1801081864
Name:JAYAKAR, BIJAL ABHEER (MD)
Entity type:Individual
Prefix:
First Name:BIJAL
Middle Name:ABHEER
Last Name:JAYAKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BIJAL
Other - Middle Name:M
Other - Last Name:MEHTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:100 E LIBERTY ST
Mailing Address - Street 2:SUITE 800
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1434
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:606-330-7825
Practice Address - Street 1:211 FOUNTAIN CT
Practice Address - Street 2:SUITE 210
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2694
Practice Address - Country:US
Practice Address - Phone:859-629-7265
Practice Address - Fax:859-629-7266
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY48718207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology