Individual
DR. VINNY RAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4246
(623) 876-8816
(623) 298-0168
Mailing address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4246
(623) 876-8816
(623) 298-0168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43035
AZ
207RC0000X
Cardiovascular Disease Physician
43035
AZ
207RI0011X
Interventional Cardiology Physician
Primary
43035
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43035
STATE LICENSE
AZ
05
—
520478
—
AZ
Enumeration date
05/31/2007
Last updated
02/01/2024
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