Provider Demographics
NPI:1518259092
Name:RAMESH, ATUL KRISHNAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ATUL
Middle Name:KRISHNAN
Last Name:RAMESH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:774 CHRISTIANA RD STE 201
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-4221
Mailing Address - Country:US
Mailing Address - Phone:312-942-4500
Mailing Address - Fax:
Practice Address - Street 1:774 CHRISTIANA RD STE 201
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4221
Practice Address - Country:US
Practice Address - Phone:302-623-3017
Practice Address - Fax:302-266-9962
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2019-024602084N0400X
IL0361371322084N0400X
VA01012654162084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology