Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 25125 | AZ |
NPI | 1063413904 |
---|---|
Provider Name | Venkatesh G Ramaiah |
First Address | Scottsdale, AZ 85251-7230 |
Second Address | Scottsdale, AZ 85251-7230 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2005 |
Last Update Date | 17/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
386038 | (05) | AZ |
770002895 | RAILROAD MEDICARE (01) | AZ |
G51638 | (02) | AZ |
WCSKQ | SUN HEALTH GROUP # (01) | AZ |