Provider Demographics
NPI:1437272010
Name:MOOLANI, RAMESH KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMESH
Middle Name:KUMAR
Last Name:MOOLANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 3RD AVE STE 3330
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-1350
Mailing Address - Country:US
Mailing Address - Phone:619-745-1031
Mailing Address - Fax:619-745-1032
Practice Address - Street 1:855 3RD AVE STE 3330
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-1350
Practice Address - Country:US
Practice Address - Phone:619-745-1031
Practice Address - Fax:619-745-1032
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301083830207R00000X, 207RH0003X
CAC149851207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine