Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 036.144013 | IL |
NPI | 1013301605 |
---|---|
Provider Name | Dr. Anand Ramadorai |
First Address | Park Ridge, IL 60068-1460 |
Second Address | Park Ridge, IL 60068-1460 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2015 |
Last Update Date | 17/12/2021 |