Ramakrishna, Gautam

Ramakrishna, Gautam is an individual health care provider with primary practice located at 3580 Joseph Siewick Dr Ste 305 , Fairfax VA 22033-1764. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ramakrishna, Gautam can be contacted via phone (703) 648-3266.

Contact Information

Primary practice address
3580 Joseph Siewick Dr Ste 305 Fairfax VA 22033-1764
Phone: (703) 648-3266
Fax: (703) 648-3264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101237937 Virginia

Profile Details

NPI number 1801896097
LBN Legal business name Ramakrishna, Gautam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Aug 27th, 2021 - about 3 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 1801896097 NPPES
District of Columbia MEDICAID 037554300
District of Columbia MEDICAID 1801896097
District of Columbia MEDICAID 407344400
District of Columbia Other P00230443

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