Provider Demographics
NPI:1699968628
Name:RAMAIYAH, SENTHIL PRAKASH (MD)
Entity type:Individual
Prefix:DR
First Name:SENTHIL
Middle Name:PRAKASH
Last Name:RAMAIYAH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2486 NERREDIA ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-4807
Mailing Address - Country:US
Mailing Address - Phone:810-230-9901
Mailing Address - Fax:810-230-9916
Practice Address - Street 1:2486 NERREDIA ST
Practice Address - Street 2:SUITE E
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-4807
Practice Address - Country:US
Practice Address - Phone:810-230-9901
Practice Address - Fax:810-230-9916
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2012-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301099984207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology