Healthcare Provider Details

I. General information

NPI: 1659351310
Provider Name (Legal Business Name): RAMESH VEMULAPALLI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 01/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BANNING ST SUITE 260, EDEN HILL MEDICAL CENTER
DOVER DE
19904-3485
US

IV. Provider business mailing address

200 BANNING ST STE 230
DOVER DE
19904-3487
US

V. Phone/Fax

Practice location:
  • Phone: 302-674-4627
  • Fax: 302-674-4628
Mailing address:
  • Phone: 302-674-4627
  • Fax: 302-674-4628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberC10005882
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: