Provider Demographics
NPI:1336284280
Name:PREMIER INFECTIOUS DISEASES CONSULTANTS PC
Entity Type:Organization
Organization Name:PREMIER INFECTIOUS DISEASES CONSULTANTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANURADHA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMASUBRAMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-514-9624
Mailing Address - Street 1:PO BOX 5353
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08875-5353
Mailing Address - Country:US
Mailing Address - Phone:732-514-9624
Mailing Address - Fax:
Practice Address - Street 1:98 JAMES ST
Practice Address - Street 2:SUITE 208
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3902
Practice Address - Country:US
Practice Address - Phone:732-514-9624
Practice Address - Fax:732-377-3767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ097434Medicare PIN