Provider Demographics
NPI:1063730752
Name:RAMANATHAN, DHAKSHIN (MD, PHD)
Entity type:Individual
Prefix:
First Name:DHAKSHIN
Middle Name:
Last Name:RAMANATHAN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UC SAN FRANCISCO, DEPT OF PSYCHIATRY
Mailing Address - Street 2:401 PARNASSUS AVE BOX 0984
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0984
Mailing Address - Country:US
Mailing Address - Phone:415-476-7577
Mailing Address - Fax:415-476-7722
Practice Address - Street 1:UC SAN FRANCISCO DEPT OF PSYCHIATRY
Practice Address - Street 2:401 PARNASSUS AVE BOX 0984
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0001
Practice Address - Country:US
Practice Address - Phone:415-476-7577
Practice Address - Fax:415-476-7722
Is Sole Proprietor?:No
Enumeration Date:2010-05-05
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA113882390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program