Ballem, Ramamohanarao V

Ballem, Ramamohanarao V is an sole proprietor health care provider with primary practice located at 230 Sherman Ave Suite C, Glen Ridge NJ 07028-1529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ballem, Ramamohanarao V can be contacted via phone (973) 744-8585.

Contact Information

Primary practice address
230 Sherman Ave Suite C Glen Ridge NJ 07028-1529
Phone: (973) 744-8585
Fax: (973) 748-5990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA03474100 New Jersey

Profile Details

NPI number 1699858571
LBN Legal business name Ballem, Ramamohanarao V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 2007 - 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 1699858571 NPPES
New Jersey MEDICAID 1839403

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