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
StateLicense IDTaxonomies
CAA33590207N00000X, 207P00000X, 207QA0505X, 207QG0300X, 207R00000X, 207RC0000X, 207RE0101X, 207RG0100X, 207RG0300X, 207RI0008X, 207RI0200X, 207RN0300X, 207RP1001X, 207RX0202X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207N00000XAllopathic & Osteopathic PhysiciansDermatology
Not Answered207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Not Answered207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Not Answered207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Not Answered207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Not Answered207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Not Answered207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Not Answered207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
Not Answered207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Not Answered207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Not Answered207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Not Answered207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice