Provider Demographics
NPI:1952327355
Name:KARODY, RAMESH (MD INC)
Entity Type:Individual
Prefix:DR
First Name:RAMESH
Middle Name:
Last Name:KARODY
Suffix:
Gender:M
Credentials:MD INC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6860 BROCKTON AVE STE 11
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-3816
Mailing Address - Country:US
Mailing Address - Phone:951-686-8580
Mailing Address - Fax:951-686-8585
Practice Address - Street 1:6860 BROCKTON AVE STE 11
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3816
Practice Address - Country:US
Practice Address - Phone:951-686-8580
Practice Address - Fax:951-686-8585
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA39790207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA85337Medicare UPIN
CA00A397900Medicare ID - Type UnspecifiedMEDICAL PRACTICE