Provider Demographics
NPI:1427021781
Name:T RAMAKRISHNAN MD PC
Entity Type:Organization
Organization Name:T RAMAKRISHNAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THEKKEMADOM
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMAKRISHNAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-559-9622
Mailing Address - Street 1:2925 WILLIAM PENN HIGHWAY
Mailing Address - Street 2:SUITE # 303
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045
Mailing Address - Country:US
Mailing Address - Phone:610-559-9622
Mailing Address - Fax:610-559-0963
Practice Address - Street 1:2925 WILLIAM PENN HIGHWAY
Practice Address - Street 2:SUITE # 303
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045
Practice Address - Country:US
Practice Address - Phone:610-559-9622
Practice Address - Fax:610-559-0963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
02807400OtherCAPITAL BLUE CROSS OF PA
1673401OtherHIGHMARK BS OF PA
1673401OtherHIGHMARK BS OF PA
PA088412Medicare ID - Type Unspecified