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Individual
MR. RAMESH MALLADI
Active
Individual
MR. RAMESH MALLADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006800
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383454355
ALTERNITIVE REHAB TAX ID
MI
01
—
383606482
INSPIRATIONS TAX ID
MI
01
—
650H217590
BCBS GROUP PIN
MI
01
—
650H257660
BCBS PIN
MI
01
—
RM006800
BCN PIN
MI
Enumeration date
12/08/2006
Last updated
01/31/2013
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