National Provider Identifier
Ramesh Vidavalur, M.D
Ramesh Vidavalur, M.D is listed in the NPPES registry with a primary specialty of Neonatal-Perinatal Medicine Physician in Ithaca, NY and a listed phone number of (607) 274-4585.
Profile Overview
- NPI
- 1215119581
- Provider Type
- Individual
- Primary Specialty
- Neonatal-Perinatal Medicine Physician
- Enumeration Date
- November 28, 2007
- Last Updated
- August 28, 2014
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1342
Phone: (607) 274-4585
Mailing Address
- 10 Fairwinds Way
- Ithaca, NY 14850-8521
Specialties
- Neonatal-Perinatal Medicine Physician (2080N0001X)
Full Record
- NPI
- 1215119581
- Entity Type
- Individual
- Last Name
- Vidavalur
- First Name
- Ramesh
- Name Prefix
- Dr.
- Credential
- M.D
- Mailing Street Address
- 10 Fairwinds Way
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-8521
- Mailing Country
- US
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1342
- Practice Country
- US
- Practice Phone
- (607) 274-4585
- Enumeration Date
- November 28, 2007
- Last Updated
- August 28, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Neonatal-Perinatal Medicine Physician (2080N0001X)
- Other Identifiers
- 03875101 (NY)