Provider Demographics
NPI:1548544166
Name:RAMA THIRU PATHI MD INC.
Entity type:Organization
Organization Name:RAMA THIRU PATHI MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMA
Authorized Official - Middle Name:THIRU
Authorized Official - Last Name:PATHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACS
Authorized Official - Phone:760-946-0020
Mailing Address - Street 1:18145 HIGHWAY 18
Mailing Address - Street 2:SUITE D
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2210
Mailing Address - Country:US
Mailing Address - Phone:760-946-0020
Mailing Address - Fax:760-946-0710
Practice Address - Street 1:18145 HIGHWAY 18
Practice Address - Street 2:SUITE D
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2210
Practice Address - Country:US
Practice Address - Phone:760-946-0020
Practice Address - Fax:760-946-0710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-30
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty