Provider Demographics
NPI:1578502902
Name:DRONAVALLI, RAMANJANEYULU (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMANJANEYULU
Middle Name:
Last Name:DRONAVALLI
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 1:2138 SCENIC HWY N
Mailing Address - Street 2:SUITE A
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-6106
Mailing Address - Country:US
Mailing Address - Phone:770-979-0877
Mailing Address - Fax:770-979-4553
Practice Address - Street 1:2138 SCENIC HWY N
Practice Address - Street 2:SUITE A
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6106
Practice Address - Country:US
Practice Address - Phone:770-979-0877
Practice Address - Fax:770-979-4553
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA18641207RR0500X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00176701AMedicaid
GA00176701AMedicaid