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Individual

KRISHNAN RAMANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7916 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 432-2297
(260) 434-6433
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3514
(260) 479-3520

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01057079A
IN
207RC0000X
Cardiovascular Disease Physician
35083034
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000268875
ANTHEM
IN
05
200429150
IN
05
2398221
OH
01
P00783747
RAILROAD
IN
01
P01064087
RAILROAD MEDICARE
OH
Enumeration date
01/23/2006
Last updated
09/29/2020
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