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Individual

RAVI R. RAMNATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
709 S HARBOR CITY BLVD STE 100, MELBOURNE, FL 32901-1968
(321) 409-9990
(321) 309-9033
Mailing address
PO BOX 400, MELBOURNE, FL 32902
(321) 409-9990
(321) 309-9033

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME85181
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1022534280001
PA
05
1508973900
IA
05
1508973900
MI
05
1508973900
NH
05
266617100
FL
05
2891992
OH
01
62766
BCBS
FL
05
7725590
SD
01
P00786987
RAILROAD MCR
FL
05
Q85181
SC
Enumeration date
08/23/2006
Last updated
09/21/2023
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