Individual
RAMESH GADIRAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1201 PENN AVE, DES MOINES, IA 50316-2339
(515) 266-1000
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(201) 469-7342
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39905
IA
208M00000X
Hospitalist Physician
Primary
28471
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699087007
—
IA
01
—
P01269444
RR MEDICARE
IA
Enumeration date
07/14/2010
Last updated
04/04/2017
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