Provider Demographics
NPI:1558356089
Name:RAMANUJAN, RAMANUJAPURAM A P (MD)
Entity Type:Individual
Prefix:
First Name:RAMANUJAPURAM
Middle Name:A P
Last Name:RAMANUJAN
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 1:40 MITCHELL AVE.
Mailing Address - Street 2:PO BOX 99
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13903-0099
Mailing Address - Country:US
Mailing Address - Phone:607-723-1676
Mailing Address - Fax:607-772-6304
Practice Address - Street 1:40 MITCHELL AVE.
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13903-0099
Practice Address - Country:US
Practice Address - Phone:607-723-1676
Practice Address - Fax:607-772-6304
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY138226207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00595313Medicaid
NYDD1688Medicare ID - Type Unspecified
B81691Medicare UPIN