Individual
DR. RAM KISHORE R GURAJALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23305 CHAGRIN BLVD, 405S, BEACHWOOD, OH 44122-5549
(845) 705-9209
Mailing address
CHAGRIN BLVD, BEACHWOOD, OH 44122-5549
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
35.125706
OH
390200000X
Student in an Organized Health Care Education/Training Program
57.020760
OH
Other
Enumeration date
07/20/2012
Last updated
05/18/2015
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