Provider Demographics
NPI:1902898596
Name:ADABALA, RAMESH (MD,)
Entity Type:Individual
Prefix:DR
First Name:RAMESH
Middle Name:
Last Name:ADABALA
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 SIMSBURY DR STE E
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3953
Mailing Address - Country:US
Mailing Address - Phone:908-510-5984
Mailing Address - Fax:856-336-2510
Practice Address - Street 1:58 SIMSBURY DR STE E
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3953
Practice Address - Country:US
Practice Address - Phone:908-510-5984
Practice Address - Fax:908-668-7792
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-18
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA071765207RP1001X
NJ25MA07176500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease