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Physician Compare National (NPI:1578502902)

HEALTHCARE PROVIDER: RAMANJANEYULU DRONAVALLI M.D.

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

Individual Professional Information

NPI 1578502902
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0042334625
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100903000047
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name DRONAVALLI
Individual professional last name
Provider First Name RAMANJANEYULU
Individual professional first name
Provider Middle Name V
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name EMORY UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1977
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 RHEUMATOLOGY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties RHEUMATOLOGY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 2138 SCENIC N HWY A
Group Practice or individual's line 1 address
City SNELLVILLE
Group Practice or individual's city
State GA
Group Practice or individual's state
Zip Code 30078
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 110192
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 EASTSIDE MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 110087
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 GWINNETT MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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