MEDICARE: DR. ARRAMRAJU NAGARAJU 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	2084P0800X	Psychiatry Physician	D20214	MD

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	:	1689724635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARRAMRAJU NAGARAJU M.D.

Provider Business Mailing Address
First Line	:	8120 HICKORY HIGH CT APT G
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-5522
Country	:	US
Telephone Number	:	410-402-7601
Fax Number	:	410-402-7610

Provider Business Practice Location Address
First Line	:	8120 HICKORY HIGH CT APT G
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-5522
Country	:	US
Telephone Number	:	410-402-7601
Fax Number	:	410-402-7610

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	09/19/2011

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