IndividualActive
Mahesh Jayaraman, MD
NPI 1295755072 · Vascular & Interventional Radiology Physician · Providence, RI
Provider details
- NPI number
- 1295755072
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 12030 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-5174
Fax: (401) 921-9212
Approximate (ZIP-level) locationGet directions
Mailing address
125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Additional practice locations (1)
- 211 Park StAttleboro, MA 02703-3143Phone: (508) 222-5200
Registry dates
- Enumerated
- 2006-07-21
- Last updated
- 2024-03-15
- Certified
- 2024-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.