Provider Demographics
NPI:1285796177
Name:RAMACHANDRAN, VIDHYA (MD)
Entity type:Individual
Prefix:
First Name:VIDHYA
Middle Name:
Last Name:RAMACHANDRAN
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 1:8121 CLIFTON COURT CIRCLE NW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646
Mailing Address - Country:US
Mailing Address - Phone:330-453-3386
Mailing Address - Fax:330-453-2362
Practice Address - Street 1:4900 FRANK RD NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-7483
Practice Address - Country:US
Practice Address - Phone:330-494-9797
Practice Address - Fax:330-499-1241
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35087870208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics