Individual
DR. RAMADEVI SANKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2490 CENTRAL AVE, LAKE STATION, IN 46405-2122
(219) 763-8112
(219) 962-1580
Mailing address
PO BOX 1430, PORTAGE, IN 46368-9230
(219) 763-8112
(219) 764-5380
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01084672A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790992782
—
IA
01
—
I3290001
MEDICARE PTAN
IA
Enumeration date
05/17/2007
Last updated
09/17/2020
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