Individual
BATUK RAMOLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
890 E BUNKERHILL DR, TERRE HAUTE, IN 47802-9363
(812) 299-8811
Mailing address
890 E BUNKERHILL DR, TERRE HAUTE, IN 47802-9363
(812) 299-8811
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01032734A
IN
207P00000X
Emergency Medicine Physician
036-065382
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000236142
BLUE SHIELD
IN
05
—
200384930
—
IN
Enumeration date
03/01/2006
Last updated
02/25/2009
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