Provider Demographics
NPI:1730118993
Name:SABAPATHI, RAMESH (MD)
Entity Type:Individual
Prefix:
First Name:RAMESH
Middle Name:
Last Name:SABAPATHI
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 1:201 BACK RIVER NECK RD
Mailing Address - Street 2:STE 109
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21221
Mailing Address - Country:US
Mailing Address - Phone:410-391-8733
Mailing Address - Fax:410-391-9630
Practice Address - Street 1:201-109 BACK RIVER NECK RD
Practice Address - Street 2:STE 109
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21221
Practice Address - Country:US
Practice Address - Phone:410-391-8733
Practice Address - Fax:410-391-9630
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0030641207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD934675900Medicaid
MDE549004OtherBLUE CROSS
MD368161100Medicaid
MDK287CEOtherBLUE CROSS
MDE549004OtherBLUE CROSS
MD112L831AMedicare ID - Type Unspecified
B69721Medicare UPIN