Eyyunni, Ramanujam S

Eyyunni, Ramanujam S is an sole proprietor health care provider with primary practice located at 201 Health Park Blvd Suite 107, St Augustine FL 32086-5796. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Eyyunni, Ramanujam S can be contacted via phone (904) 819-0101.

Contact Information

Primary practice address
201 Health Park Blvd Suite 107 St Augustine FL 32086-5796
Phone: (904) 819-0101
Fax: (904) 825-4759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME81943 Florida

Profile Details

NPI number 1558460667
LBN Legal business name Eyyunni, Ramanujam S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2006
Last updated Sep 27th, 2017 - about 8 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 1558460667 NPPES
Florida Other P00433993 RR MEDICARE
Florida MEDICAID 262442700 RR MEDICARE

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