Provider Demographics
NPI:1417714247
Name:RAMESH, AMLITHA
Entity Type:Individual
Prefix:
First Name:AMLITHA
Middle Name:
Last Name:RAMESH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 AUTUMN STROLL CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-9318
Mailing Address - Country:US
Mailing Address - Phone:803-873-8389
Mailing Address - Fax:
Practice Address - Street 1:141 AUTUMN STROLL CT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-9318
Practice Address - Country:US
Practice Address - Phone:803-873-8389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant