MEDICARE: DR. NILIMA K JAYARAMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	D0031344	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194721647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NILIMA K JAYARAMAN M.D.

Provider Business Mailing Address
First Line	:	28470 CHARLES ST
Second Line	:
City	:	MECHANICSVILLE
State	:	MD
Zip	:	20659-3455
Country	:	US
Telephone Number	:	301-884-5543
Fax Number	:

Provider Business Practice Location Address
First Line	:	28227 THREE NOTCH RD
Second Line	:
City	:	MECHANICSVILLE
State	:	MD
Zip	:	20659-3239
Country	:	US
Telephone Number	:	301-884-8161
Fax Number	:	301-475-7039

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	10/28/2025

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