Gajula, Ramarao
Gajula, Ramarao is an sole proprietor health care provider with primary practice located at 1411 College Dr , Texarkana TX 75503-3533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Gajula, Ramarao can be contacted via phone (903) 791-1110.Contact Information
Primary practice address
1411 College Dr
Texarkana TX 75503-3533
Phone: (903) 791-1110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 25MA0066859 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2663 | Texas |
Profile Details
| NPI number | 1801843297 |
|---|---|
| LBN Legal business name | Gajula, Ramarao |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2006 |
| Last updated | Apr 15th, 2024 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801843297 | NPPES |
| New Jersey | Other | 201782313 | TAX IDENTIFICATION NUMBER |
| New Jersey | MEDICAID | 7610904 | TAX IDENTIFICATION NUMBER |
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