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Contact Information

PRATHAP JAYARAM, MD
11 ORTHO LN
ATLANTA, GA30329
 Phone: 410-225-8790
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PRATHAP JAYARAM · (Male)

NPI Number 1881953628
Status Active
Credentials MD
Entity Individual
Enumeration date 05/14/2012
Last updated 07/15/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 90850
  • TX License # 45938
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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