Provider Demographics
NPI:1396755674
Name:VULLAGANTI, RAMARAO (M D)
Entity type:Individual
Prefix:DR
First Name:RAMARAO
Middle Name:
Last Name:VULLAGANTI
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
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Mailing Address - Street 1:80 SPRING BRANCH RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:ALEXANDRIA
Mailing Address - State:AL
Mailing Address - Zip Code:36250-7311
Mailing Address - Country:US
Mailing Address - Phone:256-241-9923
Mailing Address - Fax:256-241-9927
Practice Address - Street 1:1001 LEIGHTON AVE
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-5701
Practice Address - Country:US
Practice Address - Phone:256-237-1618
Practice Address - Fax:256-237-2661
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2015-08-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL00020384208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009931866Medicaid
AL051528258OtherBLUE CROSS BLUE SHIELD
AL1210953OtherUNITED HEALTH CARE
AL202833406OtherTRI CARE
AL202833406OtherALL COMMERCIAL INSURANCES
AL202833406OtherALL COMMERCIAL INSURANCES