| Neelakantan Ramineni Md, Inc. | |
|
4537 College Ave San Diego CA 92115-4010 | |
| (619) 265-0504 | |
| (619) 265-8358 |
| Full Name | Neelakantan Ramineni Md, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4537 College Ave, San Diego, California |
| Authorized Official Name and Position | Neelakantan Ramineni (OWNER) |
| Authorized Official Contact | 6192650504 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neelakantan Ramineni Md, Inc. 4537 College Ave San Diego CA 92115-4010 Ph: (619) 265-0504 | Neelakantan Ramineni Md, Inc. 4537 College Ave San Diego CA 92115-4010 Ph: (619) 265-0504 |
| NPI Number | 1184980930 |
|---|---|
| Provider Enumeration Date | 04/05/2012 |
| Last Update Date | 04/05/2012 |
| Medicare PECOS PAC ID | 4284811670 |
|---|---|
| Medicare Enrollment ID | O20120425000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184980930 | NPI | - | NPPES |
| 00A412890 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A41289 (California) | Primary |
| Provider Name | Neelakantan Ramineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881782647 PECOS PAC ID: 1951563733 Enrollment ID: I20120425000117 |
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