MEDICARE: DR. RAMESH KUMAR MOOLANI 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
1	207R00000X	Internal Medicine Physician	4301083830	MI
2	207RH0003X	Hematology & Oncology Physician	4301083830	MI
3	207RH0003X	Hematology & Oncology Physician	C149851	CA

General Provider Information

NPI Number	:	1437272010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMESH KUMAR MOOLANI M.D.

Provider Business Mailing Address
First Line	:	855 3RD AVE STE 3330
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91911-1350
Country	:	US
Telephone Number	:	619-745-1031
Fax Number	:	619-745-1032

Provider Business Practice Location Address
First Line	:	855 3RD AVE STE 3330
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91911-1350
Country	:	US
Telephone Number	:	619-745-1031
Fax Number	:	619-745-1032

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	06/07/2022

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