Individual
DR. KAMARAJAPURAM RAMAN DESIKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-1750
(870) 262-1754
Mailing address
PO BOX 2197, BATESVILLE, AR 72503-2197
(870) 262-1750
(870) 262-1754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-0269
AR
207RH0003X
Hematology & Oncology Physician
Primary
E0269
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127717001
—
AR
01
—
E0269
LICENSE NUMBER
AR
Enumeration date
06/24/2005
Last updated
06/24/2019
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