Individual
RAM Y. GORDON
Active
Individual
RAM Y. GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD072186L
PA
207RI0011X
Interventional Cardiology Physician
Primary
050491
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007278000
MEDICAID TPI GROUP
PA
05
—
1014582330001
—
PA
01
—
597586
MEDICARE GROUP TPI
PA
01
—
CD4829
RAILROAD MEDICARE TPI GROUP
PA
Enumeration date
11/23/2005
Last updated
01/15/2025
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