DR. JAYRAM KRISHNAN (NPI# 1245216605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245216605 |
Entity Type | Individual |
Full Name | DR. JAYRAM KRISHNAN |
Credential | D.O., M.B.A. |
Practice Address |
3131 La Canada St Suite 217 Las Vegas NV 89169-2578 |
Practice Telephone | 7027968669 |
Mailing Telephone | 7027968669 |
Enumeration Date | 2005-12-19 |
Last Update Date | 2014-09-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 25MB08869800 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | STATE LICENSE | DO1872 | 01 |
NJ | NJ STATE MEDICAL LICENSE | 25MB08869800 | 01 |
Street Address |
3131 LA CANADA ST SUITE 217 |
City | LAS VEGAS |
State | NV |
Zip Code | 89169-2578 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609292416 | Keisha Stevenson | Nurse Practitioner | 3131 La Canada St, 241, Las Vegas, NV 89169-2578 | 2014-03-17 |
1316212806 | Jaclyn Grace Rykal | Audiologist | 3131 La Canada St, Las Vegas, NV 89169-2578 | 2012-03-15 |
1114222551 | Amy Martine Pfeiffer | Nurse Practitioner | 3131 La Canada St, Suite 200, Las Vegas, NV 89169-2578 | 2011-01-16 |
1851625958 | Urvi H Patel | Pharmacist | 3131 La Canada St, Las Vegas, NV 89109 | 2009-09-23 |
1730321100 | Jacob L Snow | Pediatrics | 3131 La Canada St, Suite 244, Las Vegas, NV 89169-2578 | 2009-04-01 |
1275772006 | Carolyn Laurice Jefferson Cornelius | Obstetrics & Gynecology | 3131 La Canada St, Suite 241, Las Vegas, NV 89169-2578 | 2009-02-18 |
1922245281 | Tiffany Wan | Dietitian, Registered | 3131 La Canada St, Las Vegas, NV 89169-2578 | 2009-01-08 |
1861644072 | Erica Jill Filby | Pharmacist | 3131 La Canada St, Las Vegas, NV 89169-2578 | 2008-10-21 |
1366690141 | Tamara Majic | Psychiatry & Neurology | 3131 La Canada St, Suite 101, Las Vegas, NV 89169-2578 | 2008-09-04 |
1326203068 | Daniel David Ramsey | Orthotist | 3131 La Canada St, Room 230, Las Vegas, NV 89169-2578 | 2008-07-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164038196 | Tammy E Smith | Home Health | 1500 Karen Ave, 65, Las Vegas, NV 89169 | 2020-09-16 |
1457978561 | Damon Lavell Cohran | Counselor | 459 Sierra Vista Dr, 32, Las Vegas, NV 89169 | 2020-07-06 |
1912543307 | Josephine R Hernandez | Rehabilitation Practitioner | Firstmed Health and Wellness Center Inc., 3343 S. Eastern Avenue, Las Vegas, NV 89169 | 2019-11-21 |
1528602174 | Cindy Pena Jaramillo | Technician | 3376 S. Eaatern Ave, Las Vegas, NV 89169 | 2019-11-06 |
1497309967 | Richard Snarr Worthen | Technician | 3175 South Eastern Ave, Las Vegas, NV 89169 | 2019-08-01 |
1447718796 | Hope Industries LLC | Chore Provider | 1711 E Desert Inn Rd, Las Vegas, NV 89169 | 2019-03-06 |
1609345321 | Diaz Health LLC | Community/Behavioral Health | 5225 West 2nd Street, Las Vegas, NV 89169 | 2018-11-26 |
1902371024 | Kevin Burnett | Technician | 1100 Dunmont Apt 202, Las Vegas, NV 89169 | 2018-10-04 |
1659865111 | Kimberly Jackson-hampton | Counselor | 335 E Harmon Ave Apt 30, Las Vegas, NV 89169 | 2018-06-19 |
1093216350 | Blessed Services LLC | Community/Behavioral Health | 2525 White Street, Las Vegas, NV 89169 | 2018-02-22 |
Find all providers in zip 89169 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134660137 | New Image Medical Inc. | Urology | 2610 S Jones Blvd Ste B, Las Vegas, NV 89146-5663 | 2017-03-10 |
1841532595 | Robert James Evans | Urology | 2353 Lauren Dr, Las Vegas, NV 89134-5533 | 2013-03-20 |
1720355621 | Mujica Trenche - Vitality Md PC | Urology | 6380 W Flamingo Rd, Ste A, Las Vegas, NV 89103-7129 | 2011-11-19 |
1720213101 | Joel Emmanuel Abbott | Urology | 6110 Elton Ave, Las Vegas, NV 89107-2538 | 2009-05-28 |
1497977334 | Avi Weiss | Urology | 3150n Tenaya Way 165, Las Vegas, NV 89128-0462 | 2007-05-02 |
1366537144 | Jeffrey M. Zapinsky | Urology | 7200 Cathedral Rock Dr., Suite 180, Las Vegas, NV 89128-0466 | 2006-10-04 |
1659483444 | Sheldon Jay Freedman | Urology | 653 N Town Center Dr Ste 308, Las Vegas, NV 89144-0517 | 2006-08-31 |
1245242957 | Omid A. Lesani | Urology | 7500 Smoke Ranch Rd., Suite 200, Las Vegas, NV 89128-0373 | 2006-08-12 |
1578509949 | Helen T Housley | Urology | 2000 Pinto Ln, Suite 200, Las Vegas, NV 89106-4045 | 2006-06-22 |
1659328391 | Sarah A. Ryan | Urology | 3150 N Tenaya Way Ste 165, Las Vegas, NV 89128-0462 | 2006-05-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.