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Individual

RAMAKRISHNA DEVASTHALI

Active
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Individual

RAMAKRISHNA DEVASTHALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
86-212
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05595
NM
01
201002438
PRESBYTERIAN HEALTH
NM
01
248520105
MEDICARE PTAN
01
NM010679
BCBS & HMO OF NM
NM
01
P00224034
RR MEDICARE
Enumeration date
03/14/2006
Last updated
01/13/2017
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