MEDICARE: DR. RAMESH KARODY M.D. INC

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	A39790	CA

General Provider Information

NPI Number	:	1952327355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMESH KARODY M.D. INC

Provider Business Mailing Address
First Line	:	6860 BROCKTON AVE STE 11
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-3816
Country	:	US
Telephone Number	:	951-686-8580
Fax Number	:	951-686-8585

Provider Business Practice Location Address
First Line	:	6860 BROCKTON AVE STE 11
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-3816
Country	:	US
Telephone Number	:	951-686-8580
Fax Number	:	951-686-8585

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

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	12/23/2008

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