Ramisetti, Dattatreya Kumar

Ramisetti, Dattatreya Kumar is an individual health care provider with primary practice located at 320 Superior Ave Ste 240, Newport Beach CA 92663-2716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ramisetti, Dattatreya Kumar can be contacted via phone (949) 548-8833.

Contact Information

Primary practice address
320 Superior Ave Ste 240 Newport Beach CA 92663-2716
Phone: (949) 548-8833
Fax: (949) 548-2575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A36545 California

Profile Details

NPI number 1568443059
LBN Legal business name Ramisetti, Dattatreya Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jul 13th, 2026 - about 3 months 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 1568443059 NPPES
California MEDICAID 00A365450

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