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Individual

DR. RAM V PATAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18546 ROSCOE BLVD STE 110, NORTHRIDGE, CA 91324-4667
(818) 993-5600
(818) 775-1509
Mailing address
18546 ROSCOE BLVD STE 110, NORTHRIDGE, CA 91324-4667
(818) 993-5600
(818) 775-1509

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
C39711
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
390000081
MEDICARE RAILROAD
CA
05
GR0050270
CA
Enumeration date
10/11/2005
Last updated
03/07/2023
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