Individual
RAMCHANDER RAO MADHAVARAPU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2120 EXCHANGE ST, SUITE 202, ASTORIA, OR 97103-3365
(503) 325-7337
(503) 325-3706
Mailing address
2120 EXCHANGE ST, SUITE 202, ASTORIA, OR 97103-3365
(503) 325-7337
(503) 325-3706
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD25214
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1119858
—
WA
05
—
276048
—
OR
Enumeration date
03/15/2006
Last updated
07/16/2007
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