Provider Demographics
NPI:1578763850
Name:D K RAMISETTI MD, INC
Entity Type:Organization
Organization Name:D K RAMISETTI MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:D
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:RAMISETTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-548-8833
Mailing Address - Street 1:351 HOSPITAL RD STE 415
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3507
Mailing Address - Country:US
Mailing Address - Phone:949-548-8833
Mailing Address - Fax:949-548-2575
Practice Address - Street 1:351 HOSPITAL RD STE 415
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3507
Practice Address - Country:US
Practice Address - Phone:949-548-8833
Practice Address - Fax:949-548-2575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36545207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA36545Medicare PIN