Provider Demographics
NPI:1003977604
Name:RAMINENI, PRAFUL MARUTI (MD)
Entity Type:Individual
Prefix:DR
First Name:PRAFUL
Middle Name:MARUTI
Last Name:RAMINENI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6537 SOTHORON RD
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3022
Mailing Address - Country:US
Mailing Address - Phone:202-288-0285
Mailing Address - Fax:202-785-1370
Practice Address - Street 1:2440 M ST NW
Practice Address - Street 2:SUITE 200
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1404
Practice Address - Country:US
Practice Address - Phone:202-785-4187
Practice Address - Fax:202-785-1370
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2017-02-22
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Provider Licenses
StateLicense IDTaxonomies
DCMD036474208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery