Provider Demographics
NPI:1285613042
Name:RAMAN, A.ANANTH (MD)
Entity type:Individual
Prefix:DR
First Name:A.ANANTH
Middle Name:
Last Name:RAMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3903 SHADOWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-3163
Mailing Address - Country:US
Mailing Address - Phone:724-274-4320
Mailing Address - Fax:724-274-4332
Practice Address - Street 1:1704 PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:CHESWICK
Practice Address - State:PA
Practice Address - Zip Code:15024-1526
Practice Address - Country:US
Practice Address - Phone:724-274-4320
Practice Address - Fax:724-274-4332
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036960Y207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009876000006Medicaid
PA0009876000001Medicaid
B37845Medicare UPIN
PA132828NJYMedicare Oscar/Certification
PA0009876000001Medicaid
PA132828D30Medicare Oscar/Certification