Provider Demographics
NPI:1043658685
Name:RAMS MURTHY, MAYA (MPH, RD)
Entity Type:Individual
Prefix:
First Name:MAYA
Middle Name:
Last Name:RAMS MURTHY
Suffix:
Gender:F
Credentials:MPH, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4607 SAPA CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95136-2688
Mailing Address - Country:US
Mailing Address - Phone:410-294-3979
Mailing Address - Fax:
Practice Address - Street 1:4607 SAPA CT
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95136-2688
Practice Address - Country:US
Practice Address - Phone:410-294-3979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD988948133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered