MEDICARE: JAYARAMAN MEDICAL ASSOCIATES

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	174400000X	Specialist	D0020177	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	:	1942349816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAYARAMAN MEDICAL ASSOCIATES

Provider Business Mailing 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

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	:	PRESIDENT
Name	:	KRISHNA P JAYARAMAN
Credential	:
Telephone Number	:	301-884-8161

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	10/28/2025

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1538706593 — TORI MARIE LEWIS DAUPHINAIS CRNP
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1912980350 — MRS. VICKIE ELSESSER-VU LCSWC
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Practice Location Address:

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