National Provider Identifier
Gayatri Jayaraman, MD
Gayatri Jayaraman, MD is listed in the NPPES registry with a primary specialty of Nephrology Physician in Ithaca, NY and a listed phone number of (607) 274-4324.
Profile Overview
- NPI
- 1942439690
- Provider Type
- Individual
- Primary Specialty
- Nephrology Physician
- Enumeration Date
- July 02, 2009
- Last Updated
- September 05, 2018
Practice Location
- 201 Dates Dr
- Ithaca, NY 14850
Phone: (607) 274-4324
Mailing Address
- 75 Francis Street
- Bwh, Renal Division
- Boston, MA 02115
Specialties
- Nephrology Physician (207RN0300X)
- Hospitalist Physician (208M00000X)
- Internal Medicine Physician (207R00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1942439690
- Entity Type
- Individual
- Last Name
- Jayaraman
- First Name
- Gayatri
- Credential
- MD
- Mailing Street Address
- 75 Francis Street
- Mailing Address Line 2
- Bwh, Renal Division
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02115
- Mailing Country
- US
- Mailing Phone
- (617) 732-5802
- Mailing Fax
- (617) 732-6392
- Practice Street Address
- 201 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 274-4324
- Enumeration Date
- July 02, 2009
- Last Updated
- September 05, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nephrology Physician (207RN0300X), Hospitalist Physician (208M00000X), Internal Medicine Physician (207R00000X), Student in an Organized Health Care Education/Training Program (390200000X)