Individual
OCTAVIO RAMILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3300
Mailing address
262 DANNY THOMAS PL # MS 515, MEMPHIS, TN 38105-3678
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
35094585
OH
2080P0208X
Pediatric Infectious Diseases Physician
Primary
68512
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2996432
—
OH
01
—
4280871
CGS - MEDICARE
OH
Enumeration date
03/27/2006
Last updated
12/30/2024
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