Provider Demographics
NPI:1023633559
Name:RAMASESHAN, KARTHIK S (MD)
Entity type:Individual
Prefix:
First Name:KARTHIK
Middle Name:S
Last Name:RAMASESHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:32518 NEW YORK ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48082-2078
Mailing Address - Country:US
Mailing Address - Phone:248-508-1865
Mailing Address - Fax:864-602-6559
Practice Address - Street 1:4646 JOHN R ST RM B3249
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-1916
Practice Address - Country:US
Practice Address - Phone:248-508-1865
Practice Address - Fax:864-602-6559
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2024-08-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301509847208D00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice