Provider Demographics
NPI:1326202540
Name:RAMASUBBAIAH, RASHMI (MD)
Entity Type:Individual
Prefix:
First Name:RASHMI
Middle Name:
Last Name:RAMASUBBAIAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 45680
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94145-0680
Mailing Address - Country:US
Mailing Address - Phone:530-626-6600
Mailing Address - Fax:530-626-6603
Practice Address - Street 1:3102 PORTE MORINO DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CAMERON PARK
Practice Address - State:CA
Practice Address - Zip Code:95682
Practice Address - Country:US
Practice Address - Phone:530-323-6600
Practice Address - Fax:530-626-6603
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA126533207RH0003X
MO2010036799207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA109676Medicare Oscar/Certification
MO152360415Medicare PIN