1841333150 NPI number — ASHA RAMAN MD

Table of content: ASHA RAMAN MD (NPI 1841333150)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841333150 NPI number — ASHA RAMAN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAMAN
Provider First Name:
ASHA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

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:
1841333150
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/04/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
307 FREEPORT ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BLAWNOX
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15238
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-826-0500
Provider Business Mailing Address Fax Number:
412-828-1142

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
307 FREEPORT ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BLAWNOX
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15238
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-826-0500
Provider Business Practice Location Address Fax Number:
412-828-1142
Provider Enumeration Date:
02/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  MD 026117E , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0012708240006 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 49267 . This is a "HEALTH AMERICA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0080889 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0808677 . This is a "AETNA US HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1270824 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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