Individual
MR. DATTATREYA KUMAR RAMISETTI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 SUPERIOR AVE, STE 240, NEWPORT BEACH, CA 92663-2716
(949) 548-8833
(949) 548-2575
Mailing address
320 SUPERIOR AVE, STE 240, NEWPORT BEACH, CA 92663-2716
(949) 548-8833
(949) 548-2575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A36545
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A365450
—
CA
Enumeration date
11/10/2005
Last updated
07/08/2007
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