Illindala, Ramachandra

Illindala, Ramachandra is an individual health care provider with primary practice located at 100 Grand St , New Britain CT 06052-2016. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Illindala, Ramachandra can be contacted via phone (860) 224-5661.

Contact Information

Primary practice address
100 Grand St New Britain CT 06052-2016
Phone: (860) 224-5661
Fax: (860) 224-5785
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 042577 Connecticut
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 042577 Connecticut

Profile Details

NPI number 1497757793
LBN Legal business name Illindala, Ramachandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated May 25th, 2012 - about 12 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 1497757793 NPPES
Connecticut MEDICAID 001425778

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