Provider Demographics
NPI:1447325311
Name:KUDIPUDI, RAMANASRI V (MD)
Entity type:Individual
Prefix:DR
First Name:RAMANASRI
Middle Name:V
Last Name:KUDIPUDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:31 YELLOW BROOK RD
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1967
Mailing Address - Country:US
Mailing Address - Phone:732-685-9243
Mailing Address - Fax:732-631-9924
Practice Address - Street 1:CN 5050, 901 WEST MAIN STREET
Practice Address - Street 2:SUITE 260
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728
Practice Address - Country:US
Practice Address - Phone:732-685-9243
Practice Address - Fax:732-631-9924
Is Sole Proprietor?:No
Enumeration Date:2006-11-23
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07472000207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8972401Medicaid
NJ064646DR7Medicare PIN
NJH74343Medicare UPIN