Individual provider · NPI-1

Dr. Raman S.P Damineni, M.D

Internal Medicine · Dublin, GA

NPI number1033176573
StatusActive
Last updated in NPPESJan 20, 2012

Details

NPI
1033176573
Entity type
Individual (NPI-1)
Name
Dr. Raman S.P Damineni
Credential
M.D
Sex
Male
Sole proprietor
No
Enumeration date
Apr 27, 2006
Last updated
Jan 20, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine043915GAYes

Practice location

1826 Veterans Blvd
Dublin, GA 31021-3620

Phone 478-272-1210 · Fax 478-274-5508

Mailing address

435 Fairfield Dr
Dublin, GA 31021-3895

Phone 478-275-7456 · Fax 478-275-7456

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