Ramanujam Vijaya Komanduri, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

7278 Issued in NV

Practice address

6900 Pecos Rd
VA Southern Nevada Healthcare System
North Las Vegas, NV 89086-4400

Phone

(702) 791-9012

Fax

(702) 791-9116

NPI assigned

Mar 7, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1982671095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 PECOS RD",
            "address_2": "VA SOUTHERN NEVADA HEALTHCARE SYSTEM",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-791-9012",
            "fax_number": "702-791-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 PECOS RD",
            "address_2": "VA SOUTHERN NEVADA HEALTHCARE SYSTEM",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-791-9012",
            "fax_number": "702-791-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMANDURI",
        "first_name": "RAMANUJAM",
        "middle_name": "VIJAYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "7278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles C Ko, M.D.
• Eric Ko
• Deanna Koa
• Khali Koetting
• Alec Kolbasky
• Komfort Kare
• Alexander Koo, PHARMD
• Koolsmiles Dental Corporation
• Marek Korzeniowski, MD
• Shoshanna Koszer, MS

• Psychiatry Physician in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.