Provider Demographics
NPI:1386946283
Name:RAMDAS, ANURADHA
Entity type:Individual
Prefix:MRS
First Name:ANURADHA
Middle Name:
Last Name:RAMDAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2644 OASIS ST
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL
Mailing Address - State:CA
Mailing Address - Zip Code:92251-2523
Mailing Address - Country:US
Mailing Address - Phone:760-556-8608
Mailing Address - Fax:
Practice Address - Street 1:750 N IMPERIAL AVE
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-1914
Practice Address - Country:US
Practice Address - Phone:760-353-2720
Practice Address - Fax:760-353-3591
Is Sole Proprietor?:No
Enumeration Date:2010-11-27
Last Update Date:2010-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62310183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist