Provider Demographics
NPI:1073211173
Name:RAMAKRISHNA GUDAPATI MD LLC
Entity Type:Organization
Organization Name:RAMAKRISHNA GUDAPATI MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMAKRISHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUDAPATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:551-298-3626
Mailing Address - Street 1:683 VICTORIA AVE
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1943
Mailing Address - Country:US
Mailing Address - Phone:551-298-3626
Mailing Address - Fax:
Practice Address - Street 1:683 VICTORIA AVE
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1943
Practice Address - Country:US
Practice Address - Phone:551-298-3626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty