Provider Demographics
NPI:1508015918
Name:RAMAKRISHNAN, MUTHUKRISHNAN PAPU (PHD)
Entity Type:Individual
Prefix:DR
First Name:MUTHUKRISHNAN
Middle Name:PAPU
Last Name:RAMAKRISHNAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:PAPU
Other - Middle Name:MUTHUKRISHNAN
Other - Last Name:RAMAKRISHNAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:1201 FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-4110
Mailing Address - Country:US
Mailing Address - Phone:415-833-9400
Mailing Address - Fax:
Practice Address - Street 1:1201 FILLMORE ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-4110
Practice Address - Country:US
Practice Address - Phone:415-833-9400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-10
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY# 27940103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist