Provider Demographics
NPI:1174550461
Name:GADI, RAMPRASAD (MD)
Entity type:Individual
Prefix:DR
First Name:RAMPRASAD
Middle Name:
Last Name:GADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RAMPRASAD
Other - Middle Name:
Other - Last Name:GADI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:531 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4416
Mailing Address - Country:US
Mailing Address - Phone:610-692-4382
Mailing Address - Fax:610-430-6820
Practice Address - Street 1:531 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4416
Practice Address - Country:US
Practice Address - Phone:610-692-4382
Practice Address - Fax:610-430-6820
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD422488207R00000X, 208M00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30060282OtherKEYSTONE MERCY- LOWER BUCKS
PA30060111OtherKEYSTONE MERCY
PAP00765859OtherRR MEDICARE
PA101142110 0003Medicaid
PAP00765859OtherRR MEDICARE
PAH97604Medicare UPIN
PA075076ZCHMMedicare PIN