Healthcare Provider Details

I. General information

NPI: 1730135831
Provider Name (Legal Business Name): RAMA MURTHY DONTHI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 02/08/2022
Certification Date: 02/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 N UNION ST STE 203
AKRON OH
44304-1362
US

IV. Provider business mailing address

601 E MAIN ST STE 101
MAHOMET IL
61853-7460
US

V. Phone/Fax

Practice location:
  • Phone: 330-923-3502
  • Fax: 330-928-9761
Mailing address:
  • Phone: 913-359-6001
  • Fax: 913-359-5552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35040344
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: