Provider Demographics
NPI:1770508590
Name:HIRLEKAR, RAMAKRISHNA (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMAKRISHNA
Middle Name:
Last Name:HIRLEKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RAAM
Other - Middle Name:
Other - Last Name:HIRLEKAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6101 LAKE ELLENOR DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-4616
Mailing Address - Country:US
Mailing Address - Phone:407-858-1424
Mailing Address - Fax:407-858-5999
Practice Address - Street 1:6101 LAKE ELLENOR DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-4616
Practice Address - Country:US
Practice Address - Phone:407-858-1424
Practice Address - Fax:407-858-5999
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 44716207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME 44716OtherMEDICAL LICENSE NUMBER
FL043 2474 00Medicaid
FL043 2474 00Medicaid
FL18698YMedicare PIN