Provider Demographics
NPI:1861248999
Name:NARESH RAMARAJAN MD, INC. A MEDICAL CORP
Entity type:Organization
Organization Name:NARESH RAMARAJAN MD, INC. A MEDICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:NARESH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMARAJAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-796-5447
Mailing Address - Street 1:520 E WILSON AVE STE 245
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-4356
Mailing Address - Country:US
Mailing Address - Phone:650-796-5447
Mailing Address - Fax:
Practice Address - Street 1:520 E WILSON AVE STE 245
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4356
Practice Address - Country:US
Practice Address - Phone:650-796-5447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care