Provider Demographics
NPI:1801834395
Name:RAMAN, THIRUPAIMARUTH K (MD)
Entity Type:Individual
Prefix:
First Name:THIRUPAIMARUTH
Middle Name:K
Last Name:RAMAN
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 1:222 CAREW STREET
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-4103
Mailing Address - Country:US
Mailing Address - Phone:413-739-5661
Mailing Address - Fax:413-731-1249
Practice Address - Street 1:222 CAREW STREET
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-4103
Practice Address - Country:US
Practice Address - Phone:413-739-5661
Practice Address - Fax:413-731-1249
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-04
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA34764207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2068664Medicaid
A68258Medicare UPIN
Y02343Medicare PIN