Individual
DR. RATAN NALLAMOTHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 BROADWAY, ST. JOSEPH HOSPITAL, FORT WAYNE, IN 46802
(260) 425-3000
Mailing address
PO BOX 708760, SANDY, UT 84070-8760
(801) 352-9500
(801) 352-7976
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26315
OK
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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