Individual
VIDYA K RAMANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1601 BRIGHAM DR, SUITE 200, PERRYSBURG, OH 43551-7114
(419) 872-7700
(419) 874-0196
Mailing address
ONE SEAGATE, SUITE 800, TOLEDO, OH 43604-1558
(419) 824-7451
(419) 824-7359
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-093203
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068764
—
OH
05
—
104768362
—
MI
01
—
VK085434
BLUE SHIELD
MI
Enumeration date
06/27/2006
Last updated
12/10/2015
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