| A R Jayaram Md A Professional Corp | |
|
1250 Concannon Blvd Livermore CA 94550-6002 | |
| (925) 455-4120 | |
| (925) 455-5020 |
| Full Name | A R Jayaram Md A Professional Corp |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1250 Concannon Blvd, Livermore, California |
| Authorized Official Name and Position | Attigupam R Jayaram (PRESIDENT) |
| Authorized Official Contact | 9254554120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A R Jayaram Md A Professional Corp 1250 Concannon Blvd Livermore CA 94550-6002 Ph: (925) 455-4120 | A R Jayaram Md A Professional Corp 1250 Concannon Blvd Livermore CA 94550-6002 Ph: (925) 455-4120 |
| NPI Number | 1760431571 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 04/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760431571 | NPI | - | NPPES |
| ZZZ217762 | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A7585 (California) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | A25987 (California) | Primary |
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