Provider Demographics
NPI:1154551273
Name:THOTA, RAMYA (MBBS)
Entity type:Individual
Prefix:DR
First Name:RAMYA
Middle Name:
Last Name:THOTA
Suffix:
Gender:F
Credentials:MBBS
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Mailing Address - Street 1:5121 S COTTONWOOD ST
Mailing Address - Street 2:ECCLES OUTPATIENT BUILDING, SUITE 610
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-5701
Mailing Address - Country:US
Mailing Address - Phone:801-507-3630
Mailing Address - Fax:801-507-3631
Practice Address - Street 1:5121 S COTTONWOOD ST
Practice Address - Street 2:ECCLES OUTPATIENT BUILDING, SUITE 610
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-5701
Practice Address - Country:US
Practice Address - Phone:801-507-3630
Practice Address - Fax:801-507-3631
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE5989207R00000X
UT9687292-1205207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine