Provider Demographics
NPI:1407427685
Name:GHUMMAN, RAMANDEEP (NP)
Entity type:Individual
Prefix:DR
First Name:RAMANDEEP
Middle Name:
Last Name:GHUMMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:DR
Other - First Name:RAMAN
Other - Middle Name:
Other - Last Name:GHUMMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:312 S 4TH ST STE 700
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-3046
Mailing Address - Country:US
Mailing Address - Phone:502-804-5495
Mailing Address - Fax:833-563-1715
Practice Address - Street 1:312 S 4TH ST STE 700
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-3046
Practice Address - Country:US
Practice Address - Phone:502-804-5495
Practice Address - Fax:833-563-1715
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1170626363L00000X
NCGHUM-XC7AD363LA2200X
IL209029739363L00000X
NC5014691363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health