Individual
DR. RAMANI PERUVEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15200 SHADY GROVE RD, 302, ROCKVILLE, MD 20850-3218
(240) 453-9182
(240) 453-9189
Mailing address
8400 TYSONS TRACE CT, VIENNA, VA 22182-6034
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D55800
MD
208VP0014X
Interventional Pain Medicine Physician
Primary
D0055800
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601285800
FECA
—
05
—
807001600
—
MD
Enumeration date
05/27/2006
Last updated
08/06/2015
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