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General NPI Number Information
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NPI Number | 1639362247
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Entity Type | Organization
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Legal Business Name | RAMANATHER SIRITHARA, M.D., P.A.
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Dates
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Enumeration Date | 08/27/2007
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 3001 HANOVER ST SUITE 334
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City | BALTIMORE
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State | MD
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Zip | 21225-1233
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Country | US
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Telephone | 410-350-3245
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Fax | 410-350-3050
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Provider Business Mailing Address
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Address Line | 10845 PHILADELPHIA RD
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City | WHITE MARSH
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State | MD
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Zip | 21162-1717
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Country | US
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Telephone | 410-335-0008
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Fax | 410-335-3113
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Authorized Official
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Title or Position | OWNER
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Name | RAMANATHER SIRITHARA
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Credential | M.D.
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Telephone | 410-350-3245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | D0017752
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License Number State | MD
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