Individual
DR. AGUSTIN ALBERTO RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2916 PEACH BLOSSOM DR STE 101, JEFFERSONVILLE, IN 47130-8380
(812) 590-1600
(812) 590-6561
Mailing address
2916 PEACH BLOSSOM DR, STE 101, JEFFERSONVILLE, IN 47130-8380
(502) 432-9987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01076087A
IN
207Q00000X
Family Medicine Physician
48319
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201092900
—
IN
05
—
7100373060
—
KY
Enumeration date
05/14/2012
Last updated
10/17/2018
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