Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | C38485 | CA |
NPI | 1023196672 |
---|---|
Provider Name | Ramesh Lingamneni |
First Address | Oakland, CA 94612-3429 |
Second Address | Redwood City, CA 94063-2037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00C384850 | (05) | CA |
A89059 | (02) |