Provider Demographics
NPI:1710939715
Name:RAMADAS, KRITHIKA (MD)
Entity Type:Individual
Prefix:
First Name:KRITHIKA
Middle Name:
Last Name:RAMADAS
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 1:2100 LYNN ROAD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-8037
Mailing Address - Country:US
Mailing Address - Phone:805-496-2726
Mailing Address - Fax:805-379-1416
Practice Address - Street 1:2100 LYNN ROAD
Practice Address - Street 2:SUITE 225
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-8037
Practice Address - Country:US
Practice Address - Phone:805-496-2726
Practice Address - Fax:805-379-1416
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA35950207KA0200X, 207KI0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
No207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA27951Medicare UPIN
CADI098ZMedicare PIN