Provider Demographics
NPI:1609843325
Name:RAMOLIA, BATUK (MD)
Entity Type:Individual
Prefix:
First Name:BATUK
Middle Name:
Last Name:RAMOLIA
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 1:890 E BUNKERHILL DR
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-9363
Mailing Address - Country:US
Mailing Address - Phone:812-299-8811
Mailing Address - Fax:
Practice Address - Street 1:890 E BUNKERHILL DR
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-9363
Practice Address - Country:US
Practice Address - Phone:812-299-8811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-065382207P00000X
IN01032734A207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000236142OtherBLUE SHIELD
IN200384930Medicaid
ILC44967Medicare UPIN
IN200384930Medicaid