Provider Demographics
NPI:1760611321
Name:THIPPANNA, RAMAKRISHNA (MD)
Entity Type:Individual
Prefix:
First Name:RAMAKRISHNA
Middle Name:
Last Name:THIPPANNA
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 1:1400 STATE ST
Mailing Address - Street 2:VIBRA HOSPITAL
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01109-2550
Mailing Address - Country:US
Mailing Address - Phone:413-797-6700
Mailing Address - Fax:
Practice Address - Street 1:123 SUMMER ST STE 385
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1216
Practice Address - Country:US
Practice Address - Phone:508-363-7300
Practice Address - Fax:508-363-9688
Is Sole Proprietor?:No
Enumeration Date:2009-07-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA239805207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine