Provider Demographics
NPI:1609157692
Name:RAMANADHAM, ARUNA R (MD)
Entity Type:Individual
Prefix:DR
First Name:ARUNA
Middle Name:R
Last Name:RAMANADHAM
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 1:9 MOUNTHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039
Mailing Address - Country:US
Mailing Address - Phone:973-533-0294
Mailing Address - Fax:973-533-0294
Practice Address - Street 1:9 MOUNTHAVEN DR
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-2711
Practice Address - Country:US
Practice Address - Phone:973-533-0294
Practice Address - Fax:973-533-0294
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04944000208000000X
NY170130-1208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics