Physician Compare National (NPI:1558356089)

HEALTHCARE PROVIDER: RAMANUJAPURAM A P RAMANUJAN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1558356089
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113812405
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110214000356
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RAMANUJAN
	Individual professional last name
Provider First Name	RAMANUJAPURAM
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1974
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	40 MITCHELL AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	DBA DIABETIC CARE ASSOCIATES
	Group Practice or individual's line 2 address
City	BINGHAMTON
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	139030099
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6077231676
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330394
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNITED HEALTH SERVICES HOSPITALS, INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330011
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LOURDES HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	330033
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CHENANGO MEMORIAL HOSPITAL, INC
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y