Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD073392L | PA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | L5107 | TX |
NPI | 1225009640 |
---|---|
Provider Name | Dr. Sanjay Mohan Ramchandani |
First Address | Du Bois, PA 15801-1462 |
Second Address | Du Bois, PA 15801-1462 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2006 |
Last Update Date | 01/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10296982 | (05) | PA |
151866402 | (05) | TX |
369529 | MEDICARE PTAN (01) | PA |
H65501 | (02) | TX |