Provider Demographics
NPI:1346528262
Name:RAMAKRISHNAN, RESHMA (MD)
Entity Type:Individual
Prefix:
First Name:RESHMA
Middle Name:
Last Name:RAMAKRISHNAN
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 1:135 BARCLAY CIR STE 104
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4599
Mailing Address - Country:US
Mailing Address - Phone:248-853-7270
Mailing Address - Fax:248-853-7230
Practice Address - Street 1:135 BARCLAY CIR STE 104
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4599
Practice Address - Country:US
Practice Address - Phone:248-853-7270
Practice Address - Fax:248-853-7230
Is Sole Proprietor?:No
Enumeration Date:2011-07-26
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301104677207R00000X, 207RE0101X
PAMT198660207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine