Individual
DR. RAMAIAH INDUDHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 W LEGION RD STE 305, BRAWLEY, CA 92227-7755
(760) 351-4444
(760) 344-7106
Mailing address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9185
(316) 689-9909
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
04-37795
KS
208800000X
Urology Physician
Primary
A81435
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200573670A
—
OK
05
—
201107550A
—
KS
01
—
A81435
CA LICENSE
CA
01
—
G18611
SO CA MEDICARE PTAN
CA
Enumeration date
05/28/2006
Last updated
07/21/2022
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