Individual
HARITHA RAMASASTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1006 LAY DAM RD, CLANTON, AL 35045-2306
(205) 280-3360
(205) 280-3369
Mailing address
PO BOX 540, PELHAM, AL 35124-0540
(205) 280-3360
(205) 280-3369
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17645
AL
207RG0100X
Gastroenterology Physician
Primary
17645
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000037045
—
AL
01
—
51037045
BCBS OF ALABAMA
AL
Enumeration date
01/23/2007
Last updated
03/11/2010
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