MEDICARE: DR. RAMAKRISHNA BANDI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	35044350B	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598761272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMAKRISHNA BANDI MD

Provider Business Mailing Address
First Line	:	275 GRAHAM RD
Second Line	:	#11
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44223-2203
Country	:	US
Telephone Number	:	330-923-0094
Fax Number	:	330-920-7533

Provider Business Practice Location Address
First Line	:	275 GRAHAM RD
Second Line	:	STE 11
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44223-2259
Country	:	US
Telephone Number	:	330-923-0094
Fax Number	:	330-920-7533

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	03/12/2013

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