Provider Demographics
NPI:1114995180
Name:RAMAKRISHNAN, NAGARAJAN (MD)
Entity Type:Individual
Prefix:DR
First Name:NAGARAJAN
Middle Name:
Last Name:RAMAKRISHNAN
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 1:416 HOOVER DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-6249
Mailing Address - Country:US
Mailing Address - Phone:972-221-9707
Mailing Address - Fax:724-837-0681
Practice Address - Street 1:562 SHEARER ST
Practice Address - Street 2:MEDICAL ARTS BLDG SUITE # 203
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2746
Practice Address - Country:US
Practice Address - Phone:724-837-1894
Practice Address - Fax:724-837-0681
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA058525-L207RC0200X
GA047014207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine