MEDICARE: DR. RAMA KRISHNA VEERA KARIBANDI 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	207Q00000X	Family Medicine Physician	182767	NY

General Provider Information

NPI Number	:	1982760567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMA KRISHNA VEERA KARIBANDI M.D.

Provider Business Mailing Address
First Line	:	3 SUPREME CT
Second Line	:
City	:	SMITHTOWN
State	:	NY
Zip	:	11787-4316
Country	:	US
Telephone Number	:	718-443-3800
Fax Number	:	718-443-3837

Provider Business Practice Location Address
First Line	:	471 HART ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-2515
Country	:	US
Telephone Number	:	718-443-3800
Fax Number	:	718-443-3837

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

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	03/29/2013

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