Provider Demographics
NPI:1457570376
Name:DUKKIPATI, RAMANATH (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMANATH
Middle Name:
Last Name:DUKKIPATI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:19373 CRYSTAL RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91326-3811
Mailing Address - Country:US
Mailing Address - Phone:818-518-7205
Mailing Address - Fax:
Practice Address - Street 1:18546 ROSCOE BLVD STE 110
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-4667
Practice Address - Country:US
Practice Address - Phone:818-993-5600
Practice Address - Fax:818-775-1509
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2019-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA88861207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology