Rammohan Marla
Cardiothoracic Vascular Surgeon
14200 W Celebrate Life Way
Goodyear
, Arizona 85338-3007
Rammohan Marla
Cardiothoracic Vascular Surgeon
14200 W Celebrate Life Way
Goodyear
, Arizona 85338-3007
(623) 207-3921
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Rammohan Marla
- 14200 W Celebrate Life Way
- Goodyear, AZ
- Zip : 85338-3007
- Fax : (623) 207-3921
- Phone : (623) 207-3000
Second Address
- Rammohan Marla
- 14200 W Celebrate Life Way
- Goodyear, AZ
- Zip : 85338-3007
- Fax : (623) 207-3921
- Phone : (623) 207-3000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 58208 | AZ |
National Provider Identifier
| NPI | 1063583359 |
|---|---|
| Provider Name | Rammohan Marla |
| First Address | Goodyear, AZ 85338-3007 |
| Second Address | Goodyear, AZ 85338-3007 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/11/2006 |
| Last Update Date | 11/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1063583359 | (05) | IA |
| 1063583359 | TRICARE (01) | |
| 1063583359 | WELLMARK BC/BS (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.