Provider Demographics
NPI:1558396879
Name:MARRI, RAMALAKSHMI (MD)
Entity Type:Individual
Prefix:
First Name:RAMALAKSHMI
Middle Name:
Last Name:MARRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 E HIGH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-4852
Mailing Address - Country:US
Mailing Address - Phone:434-977-5833
Mailing Address - Fax:
Practice Address - Street 1:916 E HIGH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-4852
Practice Address - Country:US
Practice Address - Phone:434-977-5833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101032826207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0406040000000OtherSOUTHERN HEALTH
004550OtherANTHEM BLUE CROSS
VA005880751Medicaid
B09707Medicare UPIN
VA005880751Medicaid