Provider Demographics
NPI:1689724635
Name:NAGARAJU, ARRAMRAJU (MD)
Entity type:Individual
Prefix:DR
First Name:ARRAMRAJU
Middle Name:
Last Name:NAGARAJU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:NAGARAJU
Other - Middle Name:
Other - Last Name:ARRAMRAJU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:8120 HICKORY HIGH CT APT G
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-5522
Mailing Address - Country:US
Mailing Address - Phone:410-402-7601
Mailing Address - Fax:410-402-7610
Practice Address - Street 1:8120 HICKORY HIGH CT APT G
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-5522
Practice Address - Country:US
Practice Address - Phone:410-402-7601
Practice Address - Fax:410-402-7610
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD202142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD107311700Medicaid
MD107311700Medicaid
MDB91107Medicare UPIN