Individual
SUMITA RAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2275 DEMING WAY, MADISON, WI 53715-1507
(608) 417-8388
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01041327A
IN
208000000X
Pediatrics Physician
Primary
49372-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100337130
—
IN
Enumeration date
05/02/2006
Last updated
12/22/2021
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