Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 35041746 | OH |
NPI | 1427051168 |
---|---|
Provider Name | Ramalingareddy Polamreddy |
First Address | Toledo, OH 43608-2673 |
Second Address | Toledo, OH 43608-2673 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2005 |
Last Update Date | 13/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0539448 | (05) | OH |