1497887731 NPI number — DR. V. RAMANA DHARA M.D., SC.D., M.P.H.

Table of content: DR. V. RAMANA DHARA M.D., SC.D., M.P.H. (NPI 1497887731)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497887731 NPI number — DR. V. RAMANA DHARA M.D., SC.D., M.P.H.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DHARA
Provider First Name:
V. RAMANA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D., SC.D., M.P.H.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DHARA
Provider Other First Name:
VENKATA
Provider Other Middle Name:
RAMANA
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D., SC.D., M.P.H.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1497887731
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3200 HAMPTON RIDGE WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SNELLVILLE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30078-3884
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-985-0435
Provider Business Mailing Address Fax Number:
404-639-3166

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1600 CLIFTON RD
Provider Second Line Business Practice Location Address:
MS A-29 RM 1105 CDC OCCUPATIONAL HEALTH CLINIC
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30333
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-639-3362
Provider Business Practice Location Address Fax Number:
404-639-3166
Provider Enumeration Date:
03/12/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2083P0500X , with the licence number:  037787 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 49573770241 . This is a "ME NUMBER" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".