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Individual
JEREMY RAMDIAL
Active
Individual
JEREMY RAMDIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
S6716
TX
207RH0003X
Hematology & Oncology Physician
S6716
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416020201
—
TX
01
—
416020202
CSHCN MEDICAID
TX
Enumeration date
03/26/2013
Last updated
11/12/2020
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