Dr Ramarao Gajula, MD | |
1500 Saint Georges Ave Ste G, Avenel, NJ 07001-1000 | |
(732) 382-8111 | |
(732) 381-0292 |
Full Name | Dr Ramarao Gajula |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1500 Saint Georges Ave Ste G, Avenel, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801843297 | NPI | - | NPPES |
7610904 | Medicaid | NJ | |
201782313 | Other | NJ | TAX IDENTIFICATION NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA0066859 (New Jersey) | Primary |
Entity Name | Inpatient Pediatric Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982096079 PECOS PAC ID: 4486975109 Enrollment ID: O20150608000138 |
Mailing Address | Practice Location Address |
---|---|
Dr Ramarao Gajula, MD 1500 Saint Georges Ave Ste G, Avenel, NJ 07001-1000 Ph: (732) 382-8111 | Dr Ramarao Gajula, MD 1500 Saint Georges Ave Ste G, Avenel, NJ 07001-1000 Ph: (732) 382-8111 |
Roma Chokshi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 Saint Georges Ave Ste G, Avenel, NJ 07001 Phone: 732-382-8111 | |
Dr. Gaurang Ramanbhai Patel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 Saint Georges Ave, Avenel, NJ 07001 Phone: 732-382-8111 Fax: 732-382-0292 | |
Muhammad Siddique, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 415 Avenel St, Suite A, Avenel, NJ 07001 Phone: 732-750-1180 Fax: 732-750-1182 | |
Dr. Jaini Patel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 Saint Georges Ave Ste G, Avenel, NJ 07001 Phone: 732-382-8111 |