Jayaram, Shruthi N

Jayaram, Shruthi N is an individual health care provider with primary practice located at 2010 Old West Chester Pike Suite 330, Havertown PA 19083-2712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Jayaram, Shruthi N can be contacted via phone (610) 789-8070.

Contact Information

Primary practice address
2010 Old West Chester Pike Suite 330 Havertown PA 19083-2712
Phone: (610) 789-8070
Fax: (610) 789-9937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD420440 Pennsylvania

Profile Details

NPI number 1780674226
LBN Legal business name Jayaram, Shruthi N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Dec 16th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780674226 NPPES
Other 11879715 CAQH
MEDICAID 001915811 CAQH
Other 2117899000 CAQH

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