Healthcare Provider Details
I. General information
NPI: 1427486471
Provider Name (Legal Business Name): DROIDMD P LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/29/2013
Last Update Date: 01/25/2020
Certification Date: 01/25/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 HOSPITAL DR
LOWELL MA
01852-1311
US
IV. Provider business mailing address
26 COACHMAN RIDGE RD
SHREWSBURY MA
01545-1562
US
V. Phone/Fax
- Phone: 978-934-8373
- Fax: 508-739-4017
- Phone: 508-709-9343
- Fax: 508-739-4017
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RAMESH
DONEPUDI
Title or Position: FOUNDER
Credential: MD
Phone: 978-934-8373