Individual
DR. THIPPA R RAMARAJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 HILLSIDE TER, STATEN ISLAND, NY 10308-2808
(718) 984-5774
(718) 984-5719
Mailing address
130 HILLSIDE TER, STATEN ISLAND, NY 10308-2808
(718) 984-5774
(718) 984-5719
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
151063
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00730694
—
NY
01
—
128285
WELLCARE
NY
Enumeration date
12/04/2006
Last updated
06/24/2008
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