Provider Demographics
NPI:1063652642
Name:RAMANUJAM, SAI LAKSHMI (MD)
Entity Type:Individual
Prefix:DR
First Name:SAI LAKSHMI
Middle Name:
Last Name:RAMANUJAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 ROBBINSVILLE ALLENTOWN RD
Mailing Address - Street 2:
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-1627
Mailing Address - Country:US
Mailing Address - Phone:732-768-7896
Mailing Address - Fax:
Practice Address - Street 1:409 MAIN ST
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-7418
Practice Address - Country:US
Practice Address - Phone:732-240-3760
Practice Address - Fax:732-240-3865
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-23
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA091502002084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0365459Medicaid
NJ0365459Medicaid