Tata, Ramachandra R

Tata, Ramachandra R is an sole proprietor health care provider with primary practice located at 255 Hospital Dr Ste 208 , Glen Burnie MD 21061-5801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Tata, Ramachandra R can be contacted via phone (410) 553-8160.

Contact Information

Primary practice address
255 Hospital Dr Ste 208 Glen Burnie MD 21061-5801
Fax: (410) 553-8159
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X D0092897 Maryland

Profile Details

NPI number 1962485482
LBN Legal business name Tata, Ramachandra R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2005
Last updated Mar 21st, 2022 - about 2 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 1962485482 NPPES
Pennsylvania Other 551704 BCBS PA
Pennsylvania MEDICAID 0016988180003 BCBS PA
Pennsylvania MEDICAID 0016988180007 BCBS PA

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