Provider Demographics
NPI:1063581064
Name:RAMAKRISHNAN, VIMALA (MD)
Entity type:Individual
Prefix:DR
First Name:VIMALA
Middle Name:
Last Name:RAMAKRISHNAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1658 CARDINAL DR
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-3905
Mailing Address - Country:US
Mailing Address - Phone:219-924-3689
Mailing Address - Fax:
Practice Address - Street 1:111 N. COUNTY FARM RD
Practice Address - Street 2:DUPAGE COUNTY HEALTH DEPARTMENT
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-3977
Practice Address - Country:US
Practice Address - Phone:630-682-7979
Practice Address - Fax:630-682-9572
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01026049A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology