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Contact Information

RAMESH R KEESARA, MD
187 W MAIN ST
DECATURVILLE, TN38329
 Phone: 731-852-2761
 Fax: 731-852-2781
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RAMESH R KEESARA · (Male)

NPI Number 1649223447
Status Active
Credentials MD
Entity Individual
Enumeration date 05/19/2006
Last updated 03/20/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 12891
  • TN Medicaid 3183218
  • TN Other 0001364 BCBS OF TN PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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