Provider Demographics
NPI:1063509768
Name:PITTI, RAMESH BABU (MD)
Entity Type:Individual
Prefix:
First Name:RAMESH
Middle Name:BABU
Last Name:PITTI
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 1:110 E 36TH ST APT MD1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3443
Mailing Address - Country:US
Mailing Address - Phone:212-263-7481
Mailing Address - Fax:212-263-6188
Practice Address - Street 1:110 E 36TH ST STE 1A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3464
Practice Address - Country:US
Practice Address - Phone:212-686-6799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY177923207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY81H041OtherPTAN
NJ237818OtherPTAN
F67380Medicare UPIN
NY81H041Medicare ID - Type Unspecified