Healthcare Provider Details

I. General information

NPI: 1679897284
Provider Name (Legal Business Name): RAMESH KEERTHI GADAM M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2010
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 SOUTH DR
MOUNTAIN VIEW CA
94040-4310
US

IV. Provider business mailing address

4001 RAINBOW BLVD
KANSAS CITY KS
66160-8504
US

V. Phone/Fax

Practice location:
  • Phone: 650-940-7280
  • Fax: 650-988-7917
Mailing address:
  • Phone: 913-574-0406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number94-10845
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number14813
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: