| Doctor Name: | DR. KUMARA RAMA |
| NPI Number: | 1487641148 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 4301040250 |
| Business Practice Address: | 23829 Little Mack Suite 200 St Clair Shores, MI - 480801113 |
| Business Phone Number: | 5867724444 |
| Business Fax Number: | 5867724411 |
| Mailing Address: | 23829 Little Mack, Suite 200 ST CLAIR SHORES |
| State: | MI |
| Postal Code: | 480801113 |
| Phone Number: | 5867724444 |
| Fax Number: | 5867724411 |
| NPI Enumeration Date: | 09/28/2005 |
| NPI Last Update Date: | 11/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | 4301040250 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |