Provider Demographics
NPI:1801205943
Name:PUTHUCODE, RAMANAN NARAYAN (PHD)
Entity Type:Individual
Prefix:
First Name:RAMANAN
Middle Name:NARAYAN
Last Name:PUTHUCODE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 DUPORTAIL ST
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-9107
Mailing Address - Country:US
Mailing Address - Phone:509-628-1370
Mailing Address - Fax:509-628-1541
Practice Address - Street 1:2801 DUPORTAIL ST
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-9107
Practice Address - Country:US
Practice Address - Phone:509-628-1370
Practice Address - Fax:509-628-1541
Is Sole Proprietor?:No
Enumeration Date:2014-08-02
Last Update Date:2014-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00042622183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist