Provider Demographics
NPI:1689612236
Name:RAMAN TULI, MD, P.C.
Entity Type:Organization
Organization Name:RAMAN TULI, MD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMAN
Authorized Official - Middle Name:REKHA
Authorized Official - Last Name:TULI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-424-1780
Mailing Address - Street 1:10810 DARNESTOWN RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2675
Mailing Address - Country:US
Mailing Address - Phone:301-424-1780
Mailing Address - Fax:301-424-7148
Practice Address - Street 1:10810 DARNESTOWN RD
Practice Address - Street 2:SUITE 202
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-2675
Practice Address - Country:US
Practice Address - Phone:301-424-1780
Practice Address - Fax:301-424-7148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD19609207Q00000X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD358101200Medicaid
MD358101200Medicaid
MD00A803R74Medicare PIN