Bongu, Ram Mohan R

Bongu, Ram Mohan R is an individual health care provider with primary practice located at 101 Robeson St Ste 202, Fayetteville NC 28301-5520. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Bongu, Ram Mohan R can be contacted via phone (910) 609-1630.

Contact Information

Primary practice address
101 Robeson St Ste 202 Fayetteville NC 28301-5520
Phone: (910) 609-1630
Fax: (910) 609-1636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200300007 North Carolina
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 200300007 North Carolina

Profile Details

NPI number 1760485080
LBN Legal business name Bongu, Ram Mohan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jul 1st, 2024 - about 5 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 1760485080 NPPES
North Carolina MEDICAID 8913352

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