Provider Demographics
NPI:1225159031
Name:RAMACHANDRUNI, RAMALAKSHMI MADHURI (MD)
Entity Type:Individual
Prefix:
First Name:RAMALAKSHMI
Middle Name:MADHURI
Last Name:RAMACHANDRUNI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:401 ENGAMORE LANE
Mailing Address - Street 2:APT # T5
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062
Mailing Address - Country:US
Mailing Address - Phone:901-681-0139
Mailing Address - Fax:617-636-4852
Practice Address - Street 1:750 WASHINGTON STREET
Practice Address - Street 2:CHILD PSYCHIATRY DEPARTMENT
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-636-4313
Practice Address - Fax:617-636-4852
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2259062084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry