Provider Demographics
NPI:1346348968
Name:PATHI, RAMA T (MD)
Entity type:Individual
Prefix:
First Name:RAMA
Middle Name:T
Last Name:PATHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:18145 HIGHWAY 18
Mailing Address - Street 2:SUITE D
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307
Mailing Address - Country:US
Mailing Address - Phone:760-946-0020
Mailing Address - Fax:760-946-0028
Practice Address - Street 1:18145 HIGHWAY 18
Practice Address - Street 2:SUITE D
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307
Practice Address - Country:US
Practice Address - Phone:760-946-0020
Practice Address - Fax:760-946-0028
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2010-08-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CACA42515207X00000X, 207XX0005X, 2086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand