Individual
KIRTI RAMNIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
720 45TH ST, MUNSTER, IN 46321-2818
(219) 852-2513
(219) 852-2443
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01060620A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
01060620A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200823880
—
IN
01
—
90000854
BCBSIL
IL
Enumeration date
06/20/2006
Last updated
10/17/2023
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