Provider Demographics
NPI:1285698209
Name:RAMANI, KAMINI S (MD)
Entity type:Individual
Prefix:DR
First Name:KAMINI
Middle Name:S
Last Name:RAMANI
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Gender:F
Credentials:MD
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Mailing Address - Street 1:99 E STATE ST
Mailing Address - Street 2:PO BOX 1250
Mailing Address - City:GLOVERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12078-1203
Mailing Address - Country:US
Mailing Address - Phone:518-775-4205
Mailing Address - Fax:518-775-4225
Practice Address - Street 1:99 E STATE ST
Practice Address - Street 2:MAB SUITE 102
Practice Address - City:GLOVERSVILLE
Practice Address - State:NY
Practice Address - Zip Code:12078-1203
Practice Address - Country:US
Practice Address - Phone:518-725-6080
Practice Address - Fax:518-725-6085
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2015-12-29
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Provider Licenses
StateLicense IDTaxonomies
NY176617207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01122150Medicaid
NYD93289Medicare UPIN
NY01122150Medicaid