Provider Demographics
NPI:1750316824
Name:DAMACHARLA, RAMESH KUMAR (MD)
Entity Type:Individual
Prefix:
First Name:RAMESH
Middle Name:KUMAR
Last Name:DAMACHARLA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2 CATHARINE ST
Mailing Address - Street 2:P.O. BOX 550
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-3100
Mailing Address - Country:US
Mailing Address - Phone:866-885-2318
Mailing Address - Fax:845-790-2675
Practice Address - Street 1:70 DUBOIS ST
Practice Address - Street 2:ST. LUKES HOSPITAL
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-4851
Practice Address - Country:US
Practice Address - Phone:845-561-4400
Practice Address - Fax:845-790-2675
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY239133-1207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPENDINGMedicaid