Individual
DR. SURAPANENI P RAMANADHA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
58 MAIN ST, BUCKSPORT, ME 04416-4112
(207) 469-6880
(207) 469-3766
Mailing address
58 MAIN ST, BUCKSPORT, ME 04416-4112
(207) 469-6880
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD9356
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417958851
—
ME
Enumeration date
08/09/2005
Last updated
12/21/2020
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