NPI 1295755072 · live from the CMS NPI Registry
Mahesh Jayaraman, MD
Radiology, Vascular & Interventional Radiology in Providence, RI. National Provider Identifier 1295755072, active.
NPI record
| NPI | 1295755072 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Vascular & Interventional Radiology 2085R0204X |
| Practice location | 593 Eddy St, Providence, RI 02903 |
| Practice phone | 401-444-5174 |
| Mailing address | 125 Metro Center Blvd Ste 2000, Warwick, RI 02886 |
| Enumerated | July 21, 2006 |
| Last updated | March 15, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Vascular & Interventional Radiology primary | 2085R0204X | 12030 (RI) |
| Radiology, Diagnostic Radiology | 2085R0202X | 12030 (RI) |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | 227635 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.