Provider Demographics
NPI:1245695345
Name:RAMANI NOKKU MD PC
Entity type:Organization
Organization Name:RAMANI NOKKU MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMANI
Authorized Official - Middle Name:SRI
Authorized Official - Last Name:NOKKU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-426-2337
Mailing Address - Street 1:612 OAK KNOLL TER
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-7805
Mailing Address - Country:US
Mailing Address - Phone:240-426-2337
Mailing Address - Fax:301-760-7684
Practice Address - Street 1:612 OAK KNOLL TER
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-7805
Practice Address - Country:US
Practice Address - Phone:240-426-2337
Practice Address - Fax:301-760-7684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0063256273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit