Provider Demographics
NPI: | 1497867485 |
---|---|
Name: | MARAMRAJ, MANOHAR RAO (MD) |
Entity Type: | Individual |
Prefix: | DR |
First Name: | MANOHAR |
Middle Name: | RAO |
Last Name: | MARAMRAJ |
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: | 5213 FAIRVIEW AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | ALEXANDRIA |
Mailing Address - State: | LA |
Mailing Address - Zip Code: | 71303-2481 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 318-442-5637 |
Mailing Address - Fax: | |
Practice Address - Street 1: | SHREVEPORT HIGHWAY |
Practice Address - Street 2: | VETERANS ADMINISTRATION MEDICAL CTR |
Practice Address - City: | ALEXANDRIA |
Practice Address - State: | LA |
Practice Address - Zip Code: | 71301-2481 |
Practice Address - Country: | US |
Practice Address - Phone: | 318-473-0010 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-08-31 |
Last Update Date: | 2007-07-08 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | A33590 | 207N00000X, 207P00000X, 207QA0505X, 207QG0300X, 207R00000X, 207RC0000X, 207RE0101X, 207RG0100X, 207RG0300X, 207RI0008X, 207RI0200X, 207RN0300X, 207RP1001X, 207RX0202X, 208D00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Not Answered | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | |
Not Answered | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | |
Not Answered | 207QA0505X | Allopathic & Osteopathic Physicians | Family Medicine | Adult Medicine |
Not Answered | 207QG0300X | Allopathic & Osteopathic Physicians | Family Medicine | Geriatric Medicine |
Not Answered | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
Not Answered | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
Not Answered | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
Not Answered | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
Not Answered | 207RG0300X | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine |
Not Answered | 207RI0008X | Allopathic & Osteopathic Physicians | Internal Medicine | Hepatology |
Not Answered | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
Not Answered | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
Not Answered | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
Not Answered | 207RX0202X | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology |
Not Answered | 208D00000X | Allopathic & Osteopathic Physicians | General Practice |