Ramaraju, Thippa R
Ramaraju, Thippa R is an sole proprietor health care provider with primary practice located at 130 Hillside Ter , Staten Island NY 10308-2808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Ramaraju, Thippa R can be contacted via phone (718) 984-5774.Contact Information
Primary practice address
130 Hillside Ter
Staten Island NY 10308-2808
Phone: (718) 984-5774
Fax: (718) 984-5719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 151063 | New York |
Profile Details
| NPI number | 1821156936 |
|---|---|
| LBN Legal business name | Ramaraju, Thippa R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jun 24th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821156936 | NPPES |
| New York | MEDICAID | 00730694 | |
| New York | Other | 128285 |
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