Dr Ramaiah Indudhara, MD | |
751 W Legion Rd Ste 305, Brawley, CA 92227-7755 | |
(760) 351-4444 | |
(760) 344-7106 |
Full Name | Dr Ramaiah Indudhara |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 41 Years |
Location | 751 W Legion Rd Ste 305, Brawley, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538116215 | NPI | - | NPPES |
200573670A | Medicaid | OK | |
A81435 | Other | CA | CA LICENSE |
G18611 | Other | CA | SO CA MEDICARE PTAN |
201107550A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | A81435 (California) | Primary |
208800000X | Urology | 04-37795 (Kansas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Pioneers Memorial Healthcare District | Brawley, CA | Hospital |
Enloe Medical Center | Chico, CA | Hospital |
El Centro Regional Medical Center | El centro, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pioneers Memorial Healthcare District | 4082527593 | 28 |
Valley Sunshine Medical Associates Inc | 5092054601 | 2 |
Enloe Medical Center | 9739092388 | 295 |
Entity Name | Enloe Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396753281 PECOS PAC ID: 9739092388 Enrollment ID: O20031110000404 |
Entity Name | Enloe Medical Center |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1477975613 PECOS PAC ID: 9739092388 Enrollment ID: O20140401001696 |
Entity Name | Valley Sunshine Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386143147 PECOS PAC ID: 5092054601 Enrollment ID: O20190226002053 |
Mailing Address | Practice Location Address |
---|---|
Dr Ramaiah Indudhara, MD 3311 E Murdock St, Wichita, KS 67208-3054 Ph: (316) 689-9185 | Dr Ramaiah Indudhara, MD 751 W Legion Rd Ste 305, Brawley, CA 92227-7755 Ph: (760) 351-4444 |