Basic Information
Provider Information
NPI: 1790864098
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DRONAMRAJU
FirstName: RAMA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1860 EL CAMINO REAL STE 250
Address2:  
City: BURLINGAME
State: CA
PostalCode: 940103111
CountryCode: US
TelephoneNumber: 7819567962
FaxNumber: 6504498719
Practice Location
Address1: 1860 ELCAMINO REAL, SUITE 250
Address2:  
City: BURLINGAME
State: CA
PostalCode: 94010
CountryCode: US
TelephoneNumber: 6173901410
FaxNumber: 6173901584
Other Information
ProviderEnumerationDate: 11/06/2006
LastUpdateDate: 01/29/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X59216MAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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