Provider Demographics
NPI:1629424478
Name:RAMAKRISHNAN, KARTHIK VAIDYANATHAN (MD, FRCS, DNB)
Entity Type:Individual
Prefix:
First Name:KARTHIK VAIDYANATHAN
Middle Name:
Last Name:RAMAKRISHNAN
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Gender:M
Credentials:MD, FRCS, DNB
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Mailing Address - Street 1:500 UNIVERSITY DR MC CA410
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2360
Mailing Address - Country:US
Mailing Address - Phone:717-531-5208
Mailing Address - Fax:717-531-0119
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:717-531-2050
Practice Address - Fax:717-531-2052
Is Sole Proprietor?:No
Enumeration Date:2016-05-11
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN63349208G00000X
PAMD483306208G00000X, 2086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)