Provider Demographics
NPI:1902898596
Name:ADABALA, RAMESH (MD,)
Entity type:Individual
Prefix:DR
First Name:RAMESH
Middle Name:
Last Name:ADABALA
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:58 SIMSBURY DR STE E
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3953
Mailing Address - Country:US
Mailing Address - Phone:908-510-5984
Mailing Address - Fax:856-336-2510
Practice Address - Street 1:4755 OGLETOWN STANTON ROAD
Practice Address - Street 2:SUITE 5A43
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-2200
Practice Address - Country:US
Practice Address - Phone:302-623-0188
Practice Address - Fax:302-733-5640
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-18
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07176500207R00000X
NJMA071765207RP1001X
DEC1-0027237207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease