Provider Demographics
NPI:1972206068
Name:BARREMKALA, RAGHAVENDRAMMA (MD)
Entity Type:Individual
Prefix:DR
First Name:RAGHAVENDRAMMA
Middle Name:
Last Name:BARREMKALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:RAGA
Other - Middle Name:
Other - Last Name:BARREMKALA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:601 S 8TH ST # T
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-4213
Mailing Address - Country:US
Mailing Address - Phone:470-935-4803
Mailing Address - Fax:
Practice Address - Street 1:601 S 8TH ST # T
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-4213
Practice Address - Country:US
Practice Address - Phone:470-935-4803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program