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Individual

SANT RAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
537 W 18TH ST, ERIE, PA 16502-1722
(814) 453-5056
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2529
(814) 868-2522

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD038978L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000034005
KEYSTONE
PA
01
00050140001
UNIVERA HEALTH
PA
05
0008107530001
PA
01
219229
UPMC HEALTH PLAN
PA
01
4332685
CIGNA HEALTHCARE
PA
01
526224
AETNA HEALTHCARE
PA
01
G23929
WELLPATH SELECT INC
PA
Enumeration date
01/18/2006
Last updated
11/12/2024
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