Individual
DR. RAMESH BABU CHERUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2209 GENESEE ST, UTICA, NY 13501-5930
(315) 798-9788
Mailing address
2405 GENESEE ST, UTICA, NY 13501-6214
(315) 798-9788
(315) 798-9766
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
160947-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040723802
UNIVERA
—
05
—
00868406
—
NY
05
—
00931237
—
NY
01
—
050028119
PALMETTO
NY
01
—
11315725
CAQH
—
01
—
361177
MVP
NY
01
—
40426014283
FIDELIS
—
Enumeration date
10/21/2005
Last updated
10/26/2010
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