Healthcare Provider Details

I. General information

NPI: 1376543413
Provider Name (Legal Business Name): RAMESH C KARIPINENI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 07/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 MOWRY AVE SUITE 400
FREMONT CA
94538-1730
US

IV. Provider business mailing address

1860 MOWRY AVE SUITE 400
FREMONT CA
94538-1730
US

V. Phone/Fax

Practice location:
  • Phone: 510-284-4100
  • Fax: 510-794-9783
Mailing address:
  • Phone: 510-284-4100
  • Fax: 510-794-9783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA338140
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: