The 69-year-old internist said in his appeal that he had ineffective counsel because his lawyer did not present a defense of diminished capacity, NJ.com says.
Jayaram whose office was in Jersey City said he owed one of the targets, pharmacist Mukhtar Ahmed, $250,000 and was worried his wife — a Brooklyn neurologist — would learn of his affair with another woman, Daily Voice reported.
He also admitted in Superior Court in Jersey City that he accepted Medicaid payments for bogus exams and other procedures that either weren’t medically necessary or not done at all.
Click here to follow Daily Voice Paramus and receive free news updates.