Individual
RAMMOHAN MARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2055 W HOSPITAL DR STE 205, TUCSON, AZ 85704-7822
(520) 575-6944
(520) 575-1115
Mailing address
2055 W HOSPITAL DR STE 205, TUCSON, AZ 85704-7822
(520) 575-6944
(520) 575-1115
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036134953
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
58208
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063583359
TRICARE
—
05
—
1063583359
—
IA
Enumeration date
11/10/2006
Last updated
11/28/2022
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