Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 4301061658 | MI |
NPI | 1033186861 |
---|---|
Provider Name | Dr. Kalyana S Ramamurthi |
First Address | Rochester Hills, MI 48309-3865 |
Second Address | Pontiac, MI 48341-5045 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 13/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4505281 | (05) | MI |
G53044 | (02) |