Provider Demographics
NPI:1487894499
Name:RAMAMURTHY, RAMYA (DDS,MS)
Entity type:Individual
Prefix:DR
First Name:RAMYA
Middle Name:
Last Name:RAMAMURTHY
Suffix:
Gender:F
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 N CAPITOL AVE
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95133-1913
Mailing Address - Country:US
Mailing Address - Phone:415-336-3569
Mailing Address - Fax:408-259-2027
Practice Address - Street 1:750 N CAPITOL AVE STE A1
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95133-1902
Practice Address - Country:US
Practice Address - Phone:408-259-2090
Practice Address - Fax:408-259-2027
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-03
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA580701223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics