Individual
CHANELLE RAMSUBICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1212 BROADWAY STE 1200, OAKLAND, CA 94612
(646) 820-5167
Mailing address
1212 BROADWAY STE 1200, OAKLAND, CA 94612-1814
(646) 820-5167
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
180217
CA
2084P0800X
Psychiatry Physician
312095
NY
Other
Enumeration date
07/31/2017
Last updated
09/07/2022
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