Provider Demographics
NPI:1942230644
Name:AYYAGARI, RAMCHANDRA RAO (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMCHANDRA RAO
Middle Name:
Last Name:AYYAGARI
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 1:3535 SAN DIMAS ST
Mailing Address - Street 2:SUITE 20
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1661
Mailing Address - Country:US
Mailing Address - Phone:661-323-3266
Mailing Address - Fax:661-323-8130
Practice Address - Street 1:3535 SAN DIMAS ST
Practice Address - Street 2:SUITE 20
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1661
Practice Address - Country:US
Practice Address - Phone:661-323-3266
Practice Address - Fax:661-323-8130
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA42495207VE0102X
CACA42495207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD13682Medicare UPIN