Provider Demographics
NPI:1780766410
Name:LOTANO, RAMYA (MD)
Entity type:Individual
Prefix:
First Name:RAMYA
Middle Name:
Last Name:LOTANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 312
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-342-2406
Mailing Address - Fax:856-541-3968
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 312
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-342-2406
Practice Address - Fax:856-541-3968
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA64290207RP1001X
PAMD429116207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
1400254OtherAMERIHEALTH PPO
2888852OtherAETNA
1153192OtherHORIZON NJ HEALTH
290014387OtherRR MEDICARE
NJ8259003Medicaid
P2625947OtherOXFORD
010003775OtherAMERICHOICE
2000860OtherUNITED HEALTHCARE
27935OtherUNIVERSITY HEALTHPLAN
3K6151OtherHEALTHNET
2088907000OtherAMERIHEALTH, KEYSTONE
010003775OtherAMERICHOICE
P2625947OtherOXFORD