Provider Demographics
NPI:1376626846
Name:NOKKU, RAMANI SRI (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMANI
Middle Name:SRI
Last Name:NOKKU
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 1:612 OAK KNOLL TERRACE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3819
Mailing Address - Country:US
Mailing Address - Phone:240-426-2337
Mailing Address - Fax:
Practice Address - Street 1:612 OAK KNOLL TER
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-7805
Practice Address - Country:US
Practice Address - Phone:301-891-6351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0063256207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD64882202OtherBCBS MARYLAND
MD037329100OtherDC MEDICAID
MD409406900Medicaid
MDJ0950015OtherBCBS DC
MD037329100OtherDC MEDICAID