Individual
DR. KAMALESH J RAMAIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5757 HARPER DR NE, ALBUQUERQUE, NM 87109-3566
(505) 888-5757
(505) 213-0103
Mailing address
8801 HORIZON BLVD NE, SUITE 360, ALBUQUERQUE, NM 87113-1533
(505) 828-4923
(505) 213-0103
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2009005095
MO
207W00000X
Ophthalmology Physician
Primary
MD2011-0677
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88482774
—
NM
01
—
P00977423
MEDICARE RAILROAD CARRIER PALMETTO GBA
NM
Enumeration date
08/22/2006
Last updated
11/28/2011
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