Maramreddy, Krupavathi

Maramreddy, Krupavathi is an individual health care provider with primary practice located at 218 Quarterman St , Waycross GA 31501-3547. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Maramreddy, Krupavathi can be contacted via phone (912) 287-0301.

Contact Information

Primary practice address
218 Quarterman St Waycross GA 31501-3547
Phone: (912) 287-0301
Fax: (912) 287-1568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20129 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20129 Georgia

Profile Details

NPI number 1629148069
LBN Legal business name Maramreddy, Krupavathi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jul 11th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629148069 NPPES
Georgia MEDICAID 000191001F

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