Individual
KRITHI BANGALORE RAMESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 HITCHCOCK WAY, MANCHESTER, NH 03104-4125
(603) 645-6401
Mailing address
100 HITCHCOCK WAY, MANCHESTER, NH 03104-4125
(603) 645-6401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301085947
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
19946
NH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
250174
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110F336360
BCBSM
MI
01
—
1346398971
GRP NPI
MI
05
—
1376714592
—
MI
01
—
205485614
TAX ID
MI
01
—
KR085947
LICENSE
MI
Enumeration date
03/15/2008
Last updated
12/03/2019
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