Ramaraju, Thippa R

Ramaraju, Thippa R is an sole proprietor health care provider with primary practice located at 130 Hillside Ter , Staten Island NY 10308-2808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Ramaraju, Thippa R can be contacted via phone (718) 984-5774.

Contact Information

Primary practice address
130 Hillside Ter Staten Island NY 10308-2808
Phone: (718) 984-5774
Fax: (718) 984-5719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 151063 New York

Profile Details

NPI number 1821156936
LBN Legal business name Ramaraju, Thippa R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Jun 24th, 2008 - about 18 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 1821156936 NPPES
New York MEDICAID 00730694
New York Other 128285

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