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Individual

RAMESH BAKANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2460 LEE HWY N, SUITE 5, PULASKI, VA 24301-2335
(540) 980-3914
(540) 980-9595
Mailing address
2460 LEE HWY N, SUITE 5, PULASKI, VA 24301-2335
(540) 980-3914
(540) 980-9595

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
0101238658
VA
208800000X
Urology Physician
Primary
0101238658
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1780615377
VA
01
P00285528
MEDICARE RR
VA
Enumeration date
07/05/2006
Last updated
03/20/2008
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