Provider Demographics
NPI:1871610956
Name:RAMESH B ELURI MD PC
Entity type:Organization
Organization Name:RAMESH B ELURI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:B
Authorized Official - Last Name:ELURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-999-8002
Mailing Address - Street 1:41 SADDLEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-3227
Mailing Address - Country:US
Mailing Address - Phone:610-999-8002
Mailing Address - Fax:610-630-5970
Practice Address - Street 1:41 SADDLEVIEW DR
Practice Address - Street 2:
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-3227
Practice Address - Country:US
Practice Address - Phone:610-999-8002
Practice Address - Fax:610-630-5970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD063094L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018043020001Medicaid
PA0018043020001Medicaid
PA490696Medicare UPIN