Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAYASRI INDARAM, MD
Active Sole ProprietorJAYASRI INDARAM, MD is a Allergy & Immunology healthcare provider located in OZONE PARK, New York. NPI 1255331302 is currently active in the NPPES registry. Verify at CMS.
Allergy & Immunology · OZONE PARK, NY
Registration Details
- NPI Number
- 1255331302
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 29, 2005 (21.088633033008 yrs)
- Last Updated
- Dec 5, 2013
- License
-
193883 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9709 101ST AVEOZONE PARK, NY, 114162523Browse NY providers · Browse ZIP 11416
- Phone
- 7186415555
- Fax
- 7186416677
- Primary Specialty
-
Allergy & Immunology
207K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.