Provider Demographics
NPI:1275627267
Name:PUROHIT, RAMESH C (MD)
Entity Type:Individual
Prefix:MR
First Name:RAMESH
Middle Name:C
Last Name:PUROHIT
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:PO BOX 602
Mailing Address - Street 2:135 KEATING RD
Mailing Address - City:BATESVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38606
Mailing Address - Country:US
Mailing Address - Phone:662-563-2608
Mailing Address - Fax:662-563-4404
Practice Address - Street 1:135 KEATING RD
Practice Address - Street 2:
Practice Address - City:SENATOBIA
Practice Address - State:MS
Practice Address - Zip Code:38668
Practice Address - Country:US
Practice Address - Phone:662-562-4166
Practice Address - Fax:662-562-4355
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS07617208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00015687Medicaid
MS022920920Medicare PIN
D00844Medicare UPIN