Provider Demographics
NPI:1023028743
Name:RAMAMURTHY, HULLUR R (MD)
Entity Type:Individual
Prefix:DR
First Name:HULLUR
Middle Name:R
Last Name:RAMAMURTHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 BELLEVUE AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-4513
Mailing Address - Country:US
Mailing Address - Phone:609-393-2800
Mailing Address - Fax:609-278-7323
Practice Address - Street 1:416 BELLEVUE AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08618-4513
Practice Address - Country:US
Practice Address - Phone:609-393-2800
Practice Address - Fax:609-278-7323
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03700200207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3948005Medicaid
NJ3948005Medicaid
NJE88624Medicare UPIN