MEDICARE: PRATHIMA K JAYARAM MBBS

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	207R00000X	Internal Medicine Physician	238530	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	179749BJ	OTHER	NY	PREFERRED CARE
2	00027433601	OTHER	NY	UNIVERA
3	0414038	OTHER	NY	IHA #
4	P010238530	OTHER	NY	BLUE CHOICE
5	238530-0W	OTHER	NY	WORKERS COMP

General Provider Information

NPI Number	:	1447218342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRATHIMA K JAYARAM MBBS

Provider Business Mailing Address
First Line	:	800 CARTER ST
Second Line	:	ATTN: KELLY STEELE
City	:	ROCHESTER
State	:	NY
Zip	:	14621-2604
Country	:	US
Telephone Number	:	585-339-4793
Fax Number	:	585-336-4845

Provider Business Practice Location Address
First Line	:	1850 BRIGHTON HENRIETTA TOWN LINE RD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-2532
Country	:	US
Telephone Number	:	585-424-6210
Fax Number	:	585-424-1202

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

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	12/14/2021

Similar Medicare Providers

1619825502 — RONE' SMITH RN
Practice Location Address:

1850 BRIGHTON HENRIETTA TOWN LINE RD
ROCHESTER, NY
14623-2532

Practice Phone: 585-287-5622
Practice Fax:

1932057213 — MISS LEAH MARIE SCRIMENTI RN
Practice Location Address:

1850 BRIGHTON HENRIETTA TOWN LINE RD
ROCHESTER, NY
14623-2532

Practice Phone: 585-287-5622
Practice Fax:

1073557823 — LIFETIME HEALTH MED GRP
Practice Location Address:

1850 BRIGHTON HENRIETTA TL RD
ROCHESTER, NY
14623-2532

Practice Phone: 585-292-8400
Practice Fax: 585-292-6598

1265596076 — GENESEE VALLEY GROUP HEALTH ASSOCIATION
Practice Location Address:

1850 BRIGHTON HENRIETTA TOWN LINE RD
ROCHESTER, NY
14623-2532

Practice Phone: 585-424-6210
Practice Fax:

1497811939 — GENESEE VALLEY GROUP HEALTH ASSOCIATION
Practice Location Address:

1850 BRIGHTON HENRIETTA TOWN LINE RD
ROCHESTER, NY
14623-2532

Practice Phone: 585-292-8488
Practice Fax: 585-292-6598

1912057555 — DR. THUY XUAN DAO PRIEST OD
Practice Location Address:

1850 BRIGHTON HENRIETTA TOWN LINE RD , EYE SERVICES
ROCHESTER, NY
14623-2532

Practice Phone: 585-452-8181
Practice Fax: 585-452-8183

Directions to “ PRATHIMA K JAYARAM MBBS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.