Ratakonda,m.D., P.A.

Radiology, Diagnostic Radiology in Morristown, NJ. Organization (NPI-2).

NPI number1790784353

StatusActive

Last updated in NPPESJun 4, 2024

Details

NPI: 1790784353
Entity type: Organization (NPI-2)
Legal business name: Ratakonda,m.D., P.A.
Organization subpart: No
Enumeration date: Jul 17, 2005
Certification date: Jun 4, 2024
Last updated: Jun 4, 2024

Medicare and OIG

Medicare enrolled (PECOS): Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2085R0202X	Radiology, Diagnostic Radiology	–	NJ	Yes

Practice location

290 Madison Ave
Morristown, NJ 07960-7400

Phone 973-538-8317 · Fax 973-538-6565

Mailing address

290 Madison Ave
Morristown, NJ 07960-7400

Phone 973-538-8317 · Fax 973-538-6565

Authorized official

Sridevi Ratakonda
President
9735388317

Is something wrong?

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Other Diagnostic Radiology Physician providers in Morristown, NJ

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