Jayasri Indaram, MD

NPI #1255331302 in Ozone Park, New York

Provider Information

NPI Number: 1255331302
Entity Type: Individual
Name: Jayasri Indaram, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Allergy & Immunology
Credential: MD
Enumeration Date: Jul 29, 2005
Last Updated: Dec 5, 2013

Practice Location

Address: 9709 101ST AVE
City: Ozone Park
State: New York
ZIP Code: 11416-2523
Phone: (718) 641-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X	Primary

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