Individual
RAMU CHANNAMSETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08233400
NJ
207R00000X
Internal Medicine Physician
MD440502
PA
208M00000X
Hospitalist Physician
25MA08233400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113657TN1
RAIL ROAD MEDICARE
NJ
Enumeration date
05/08/2007
Last updated
02/05/2024
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