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Individual

RAVI G RAMAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1653 JESS PARRISH CT, TITUSVILLE, FL 32796-2145
(321) 267-5965
(321) 267-8487
Mailing address
1653 JESS PARRISH CT, TITUSVILLE, FL 32796-2145
(321) 267-5965
(321) 267-8487

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME73413
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1005780
AETNA
FL
01
144879
WELL CARE/HEALTHEASE/STAY
FL
01
1518699
CIGNA
FL
01
166722
WELLCARE/HEALTHEASE/STAYW
FL
01
199730
AMERIGROUP
FL
01
42222
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
11/22/2005
Last updated
07/08/2007
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