Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RR0500X | Rheumatology | 01060190 | IN |
Y | 207RR0500X | Rheumatology | ME117906 | FL |
NPI | 1093779712 |
---|---|
Provider Name | Priya Ramani |
First Address | Oldsmar, FL 34677-2629 |
Second Address | Oldsmar, FL 34677-2629 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2006 |
Last Update Date | 10/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000519500 | ANTHEM (01) | |
100366800 | (05) | FL |
200801540 | (05) | IN |