Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 177923 | NY |
NPI | 1063509768 |
---|---|
Provider Name | Ramesh Babu Pitti |
First Address | New York, NY 10016-3443 |
Second Address | New York, NY 10016-3464 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 25/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
237818 | PTAN (01) | NJ |
81H041 | PTAN (01) | NY |
F67380 | (02) |