Individual
DR. RAMESH RAMANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-9711
(772) 563-4574
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01057155A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036.079139
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
28958-020
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME106594
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021917
MPLAN
IN
01
—
000000264764
ANTHEM
IN
05
—
002451600
—
FL
05
—
200418290A
—
IN
Enumeration date
12/29/2005
Last updated
05/01/2015
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