Provider Demographics
NPI:1306831508
Name:SURAMPUDI, RAMANA (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMANA
Middle Name:
Last Name:SURAMPUDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 FRIENDSHIP AVE
Mailing Address - Street 2:PATHOLOGY WESTERN PENNA HOSPITAL
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1722
Mailing Address - Country:US
Mailing Address - Phone:412-578-7120
Mailing Address - Fax:412-578-4526
Practice Address - Street 1:4800 FRIENDSHIP AVE
Practice Address - Street 2:ALLEGHENY PATHOLOGY ASSOCIATES
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1722
Practice Address - Country:US
Practice Address - Phone:412-578-7120
Practice Address - Fax:412-578-4526
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2013-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD035264L207ZC0500X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV11811010000Medicaid
PA0009661370005Medicaid
OH2507844Medicaid
PA220029524Medicare PIN
WV11811010000Medicaid
PA046518NHCMedicare PIN