Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | CA42515 | CA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | CA42515 | CA |
N | 2086S0105X | Surgery of the Hand | CA42515 | CA |
NPI | 1346348968 |
---|---|
Provider Name | Rama T Pathi |
First Address | Apple Valley, CA 92307 |
Second Address | Apple Valley, CA 92307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 18/08/2010 |