Individual
VIMALA RAMACHANDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2902 W AGUA FRIA FWY STE 1090, PHOENIX, AZ 85027-3970
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
42885
AZ
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
42885
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222310
LABOR AND INDUSTRY
WA
05
—
509442
—
AZ
01
—
9672RA
REGENCE BLUE SHIELD
WA
01
—
G8867021
MEDICARE PTAN
WA
01
—
P00451131
RAILROAD MEDICARE
WA
Enumeration date
01/22/2007
Last updated
09/01/2022
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