Individual
DR. SANJAY MOHAN RAMCHANDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
145 HOSPITAL AVE, SUITE 315, DU BOIS, PA 15801-1462
(814) 371-6721
(814) 371-3921
Mailing address
145 HOSPITAL AVE, SUITE 315, DU BOIS, PA 15801-1462
(814) 371-6721
(814) 371-3921
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD073392L
PA
207VM0101X
Maternal & Fetal Medicine Physician
L5107
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10296982
—
PA
05
—
151866402
—
TX
01
—
369529
MEDICARE PTAN
PA
Enumeration date
02/01/2006
Last updated
07/01/2016
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