Individual
RAVI RAMSAMOOJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
206 HASTINGS LN, ELIZABETH CITY, NC 27909-3324
(252) 335-1083
(252) 335-4030
Mailing address
206 HASTINGS LN, ELIZABETH CITY, NC 27909-3324
(252) 335-1083
(252) 335-4030
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137K0
BLUE CROSS BLUE SHIELD
NC
01
—
197180
MEDCOST
—
01
—
279689
ANTHEM BLUE CROSS BLUE SH
VA
05
—
89137K0
—
NC
01
—
P00391179
RAILROAD MEDICARE
NC
Enumeration date
09/01/2005
Last updated
10/25/2007
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