Provider Demographics
NPI:1871586123
Name:PERI, RAMA D (MD)
Entity type:Individual
Prefix:DR
First Name:RAMA
Middle Name:D
Last Name:PERI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31347 POINT CIR
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-3869
Mailing Address - Country:US
Mailing Address - Phone:302-644-0717
Mailing Address - Fax:
Practice Address - Street 1:31347 POINT CIR
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-3869
Practice Address - Country:US
Practice Address - Phone:302-644-0717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0003672207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0004OtherCAREFIRST BCBS DC
DE15RF73OtherBLUE CROSS BLUE SHIELD DE
DE490518OtherAETNA HMO
DE225697OtherMAMSI/UNITED HEALTHCARE
DE3240794OtherCIGNA
DE0534536000OtherAMERIHEALTH
DE45889OtherPRINCIPAL HEALTHCARE
DEF07421OtherMIDATLANTIC
DE4463096OtherAETNA
DE0000603001Medicaid
DE60953401OtherCAREFIRST BCBS
DE0004OtherCAREFIRST BCBS DC