| Ram V.rayasam.m.d.p.a | |
|
207 S 2nd St Morrispark Phillipsburg NJ 08865-1807 | |
| (908) 454-2279 | |
| (908) 454-5404 |
| Full Name | Ram V.rayasam.m.d.p.a |
|---|---|
| Speciality | Clinic/Center |
| Location | 207 S 2nd St, Phillipsburg, New Jersey |
| Authorized Official Name and Position | Ramakumar Venkata Rayasam (PRESIDENT) |
| Authorized Official Contact | 9084542279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ram V.rayasam.m.d.p.a 207 S 2nd St Morrispark Phillipsburg NJ 08865-1807 Ph: (908) 454-2279 | Ram V.rayasam.m.d.p.a 207 S 2nd St Morrispark Phillipsburg NJ 08865-1807 Ph: (908) 454-2279 |
| NPI Number | 1295724938 |
|---|---|
| Provider Enumeration Date | 10/16/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9133259724 |
|---|---|
| Medicare Enrollment ID | O20100608000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295724938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MA38051 (New Jersey) | Primary |
| Provider Name | Ramakumar Venkata Rayasam |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1922097666 PECOS PAC ID: 0648300244 Enrollment ID: I20100608000666 |
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Prakash Shah Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 185 Roseberry St, Warren Hospital, Phillipsburg, NJ 08865 Phone: 610-258-4891 Fax: 610-258-4836 | |
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