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NPI Code Detail

MEDICARE: DR. RAM BANGALORE M.D.

MEDICARE:  DR. RAM  BANGALORE  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
1207R00000XInternal Medicine Physician25MA54770NJ

Other Identifiers

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

General Provider Information

NPI Number : 1659309227
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAM BANGALORE M.D.
Provider Business Mailing Address
First Line : 1740 OAK TREE RD
Second Line :
City : EDISON
State : NJ
Zip : 08820-2847
Country : US
Telephone Number : 732-494-5000
Fax Number : 732-494-6698
Provider Business Practice Location Address
First Line : 1740 OAK TREE RD
Second Line :
City : EDISON
State : NJ
Zip : 08820-2847
Country : US
Telephone Number : 732-494-5000
Fax Number : 732-494-6698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 03/19/2015

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Directions to “ DR. RAM BANGALORE M.D.” Practice Location

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