Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD036474 | DC |
Y | 208600000X | Surgeon | MD036474 | DC |
NPI | 1003977604 |
---|---|
Provider Name | Dr. Praful Maruti Ramineni |
First Address | Mc Lean, VA 22101-3022 |
Second Address | Washington, DC 20037-1404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 22/02/2017 |