Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 139341 | NY |
NPI | 1003818139 |
---|---|
Provider Name | Dr. Ashok Kumar Ram |
First Address | Valley Stream, NY 11581-2015 |
Second Address | Valley Stream, NY 11581-2015 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0095513 | GHI (01) | NY |
12929 | VYTRA (01) | NY |
38357 | CIGNA (01) | NY |
48A72100 | BLUE CROSS BLUE SHIELD (01) | NY |
AP247 | OXFORD (01) | NY |
C10285 | (02) | NY |
OCO501 | HEALTHNET (01) | NY |