Rama Thiru Pathi MD Inc.
Organization Active NPI Orthopaedic Surgery Physician · Apple Valley, CA
NPI 1548544166 · NPPES record last updated Oct 26, 2011
Key facts
- NPI
- 1548544166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- RAMA THIRU PATHI MD INC.
- Practice address
- 18145 Highway 18
Suite D
Apple Valley, CA 92307-2210 - Phone
- (760) 946-0020
- Fax
- (760) 946-0710
- NPI assigned
- Sep 30, 2011
- Organization subpart
- No
Authorized official
- Name
- Rama Thiru Pathi, M.D., F.A.C.S.
- Title
- President
- Phone
- (760) 946-0020
Practitioners 4
-
Eric Bava, M.D.
-
Rama T Pathi, MD
-
Christian Michael Kondan, PA-C
-
Jonathan Wen Lee, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111122000451 | CA | Part B Supplier - Clinic/Group Practice | 9830363167 |
Receives reassigned benefits from 4 practitioners Practice locations: Apple Valley, CA |
National Provider Directory
Locations
15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes | ||
| Orthopaedic Hand Surgery Physician |
207XS0106X | |||
| Sports Medicine (Orthopaedic Surgery) Physician |
207XX0005X | |||
| Physical Medicine & Rehabilitation Physician |
208100000X |
Addresses
Primary practice location
18145 Highway 18
Suite D
Apple Valley, CA 92307-2210
Mailing address
18145 Highway 18
Suite D
Apple Valley, CA 92307-2210
Phone (760) 946-0020
Other providers in Apple Valley, CA
- Crystle Lashone Rajania
- Damodara Rajasekhar
- Rajender S. Thakran, M.D., Inc
- Ram K Kamath M D Inc.
- Ram K. Kamath, M.D., Inc.
- Raman S. Poola M.D. Inc
- Ramin Ashtiani, MD a Professional Corporation
- Alanis C Ramirez
- Brenda Ramirez
- Jesus M. Ramirez Sr.
All providers in Apple Valley, CA · Orthopaedic Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.