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Individual

RAMESH PENUMETSA RAJU,

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
590 CANTERBURY DR, SAGINAW, MI 48638-5876
(989) 776-8033
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301052183
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
198075810
MI
Enumeration date
06/23/2006
Last updated
06/03/2015
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