Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | ME131188 | FL |
N | 2081P2900X | Pain Medicine | WV17815 | WV |
NPI | 1366405136 |
---|---|
Provider Name | Dr. H. S. Ramesh |
First Address | Ormond Beach, FL 32174-8185 |
Second Address | Ormond Beach, FL 32174-8185 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 03/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0113581-000 | (05) | WV |
020069900 | (05) | FL |
F57491 | (02) | WV |