Provider Demographics
NPI:1942570239
Name:ALUDANDI, RAMESH BABU
Entity Type:Individual
Prefix:
First Name:RAMESH BABU
Middle Name:
Last Name:ALUDANDI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6010 S WESTERN ST UNIT 100
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79110-3653
Mailing Address - Country:US
Mailing Address - Phone:806-803-9401
Mailing Address - Fax:806-803-9412
Practice Address - Street 1:1248 MARINER BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-5657
Practice Address - Country:US
Practice Address - Phone:352-684-8477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-04
Last Update Date:2020-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51069183500000X
FLPS46590183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX51069OtherR.PH LICENCE
FLPS46590OtherR.PH LICENCE