Provider Demographics
NPI:1104841014
Name:RAMACHANDRA U HOSMANE MD PA
Entity Type:Organization
Organization Name:RAMACHANDRA U HOSMANE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMACHANDRA
Authorized Official - Middle Name:UMESH
Authorized Official - Last Name:HOSMANE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-645-2274
Mailing Address - Street 1:1408 SAVANNAH RD.
Mailing Address - Street 2:PO BOX 648
Mailing Address - City:LEWZS
Mailing Address - State:DE
Mailing Address - Zip Code:19958
Mailing Address - Country:US
Mailing Address - Phone:302-645-2274
Mailing Address - Fax:302-645-2275
Practice Address - Street 1:1408 SAVANNAH RD.
Practice Address - Street 2:
Practice Address - City:LEWZS
Practice Address - State:DE
Practice Address - Zip Code:19958
Practice Address - Country:US
Practice Address - Phone:302-645-2274
Practice Address - Fax:302-645-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10001653208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D73675Medicare UPIN
DE889579Medicare PIN