Provider Demographics
NPI:1598761272
Name:BANDI, RAMAKRISHNA (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMAKRISHNA
Middle Name:
Last Name:BANDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 GRAHAM RD
Mailing Address - Street 2:#11
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-2203
Mailing Address - Country:US
Mailing Address - Phone:330-923-0094
Mailing Address - Fax:330-920-7533
Practice Address - Street 1:275 GRAHAM RD
Practice Address - Street 2:STE 11
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-2259
Practice Address - Country:US
Practice Address - Phone:330-923-0094
Practice Address - Fax:330-920-7533
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35044350B207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0631463Medicaid
OH0631463Medicaid
OHD32427Medicare UPIN