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Individual
RAMA K. KETHINENI
Active
Individual
RAMA K. KETHINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01070789A
IN
207R00000X
Internal Medicine Physician
35.125862
OH
207RN0300X
Nephrology Physician
11729248-1205
UT
207RN0300X
Nephrology Physician
Primary
2023-02989
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000766020
ANTHEM
IN
05
—
201078420
—
IN
Enumeration date
12/16/2011
Last updated
11/09/2023
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