MEDICARE: DR. RAMANASRI V KUDIPUDI MD

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	207RI0200X	Infectious Disease Physician	25MA07472000	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447325311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMANASRI V KUDIPUDI MD

Provider Business Mailing Address
First Line	:	31 YELLOW BROOK RD
Second Line	:
City	:	HOLMDEL
State	:	NJ
Zip	:	07733-1967
Country	:	US
Telephone Number	:	732-685-9243
Fax Number	:	732-631-9924

Provider Business Practice Location Address
First Line	:	CN 5050, 901 WEST MAIN STREET
Second Line	:	SUITE 260
City	:	FREEHOLD
State	:	NJ
Zip	:	07728
Country	:	US
Telephone Number	:	732-685-9243
Fax Number	:	732-631-9924

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

Provider Enumeration Date	:	11/23/2006
Last Update Date	:	04/16/2024

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