Provider Demographics
NPI:1982760567
Name:KARIBANDI, RAMA KRISHNA VEERA (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMA KRISHNA
Middle Name:VEERA
Last Name:KARIBANDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SUPREME CT
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-4316
Mailing Address - Country:US
Mailing Address - Phone:718-443-3800
Mailing Address - Fax:718-443-3837
Practice Address - Street 1:471 HART ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-2515
Practice Address - Country:US
Practice Address - Phone:718-443-3800
Practice Address - Fax:718-443-3837
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY182767207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00G352Medicare ID - Type Unspecified
NYE82070Medicare UPIN