1245436682 NPI number — TIMOTHY A HRAMITS MD PC

Table of content: (NPI 1245436682)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245436682 NPI number — TIMOTHY A HRAMITS MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TIMOTHY A HRAMITS MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245436682
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
595 BARCLAY CIR
Provider Second Line Business Mailing Address:
SUITE D
Provider Business Mailing Address City Name:
ROCHESTER HILLS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48307-5802
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-852-5355
Provider Business Mailing Address Fax Number:
248-852-8411

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
595 BARCLAY CIR
Provider Second Line Business Practice Location Address:
SUITE D
Provider Business Practice Location Address City Name:
ROCHESTER HILLS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48307-5802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-852-5355
Provider Business Practice Location Address Fax Number:
248-852-8411
Provider Enumeration Date:
06/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HRAMITS
Authorized Official First Name:
TIMOTHY
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OFFICE COORDINATOR
Authorized Official Telephone Number:
248-852-5355

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  4301036547 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com