Provider Demographics
NPI:1114923778
Name:MURTY, RAMANA (MD)
Entity type:Individual
Prefix:
First Name:RAMANA
Middle Name:
Last Name:MURTY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 MARKET ST STE 720
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2846
Mailing Address - Country:US
Mailing Address - Phone:740-284-5551
Mailing Address - Fax:740-346-4048
Practice Address - Street 1:401 MARKET ST STE 720
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2846
Practice Address - Country:US
Practice Address - Phone:740-284-5551
Practice Address - Fax:740-346-4048
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD031529E207RC0000X
WV12331207RC0000X
OH35044845M207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008337580001Medicaid
WV0083404000Medicaid
OHP00999637OtherRR MEDICARE
OH0444326Medicaid
WV5550357057OtherTIN
OH4031518Medicare PIN
OH4031515Medicare PIN
OHP00999637OtherRR MEDICARE
OHH051260Medicare PIN
OH4031514Medicare PIN
WVWV0848AMedicare PIN
WV0083404000Medicaid
PA0008337580001Medicaid
C01903Medicare UPIN
WV4031502Medicare PIN