Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 030077 | CT |
N | 207RC0000X | Internist - Cardiovascular Disease | 12354 | NH |
N | 207RC0000X | Internist - Cardiovascular Disease | 22820 | SC |
N | 207RC0000X | Internist - Cardiovascular Disease | 36416 | IA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD.13810R | LA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD2005-0860 | NM |
NPI | 1023023504 |
---|---|
Provider Name | Tarik M Ramahi |
First Address | New Haven, CT 06511-2124 |
Second Address | New Haven, CT 06511-2124 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E54790 | (02) |