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NPI Code Detail

MEDICARE: DR. RAMESH B PAMULA M.D.

MEDICARE: DR. RAMESH B PAMULA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianC55426CA
2174400000XSpecialistMD203285LA

General Provider Information

NPI Number : 1356382295
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAMESH B PAMULA M.D.
Provider Business Mailing Address
First Line : 7085 N CHESTNUT AVE STE 103
Second Line :
City : FRESNO
State : CA
Zip : 93720-0353
Country : US
Telephone Number : 559-935-5491
Fax Number : 559-935-5719
Provider Business Practice Location Address
First Line : 7085 N CHESTNUT AVE STE 103
Second Line :
City : FRESNO
State : CA
Zip : 93720-0353
Country : US
Telephone Number : 559-935-5491
Fax Number : 559-935-5719
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 12/19/2017

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