Provider Demographics
NPI:1568666022
Name:POOYAN, RAMIN (DO)
Entity type:Individual
Prefix:
First Name:RAMIN
Middle Name:
Last Name:POOYAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1180 N INDIAN CANYON DR STE 201
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-4857
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1180 N INDIAN CANYON DR STE 201
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4857
Practice Address - Country:US
Practice Address - Phone:760-416-4511
Practice Address - Fax:760-416-4513
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2011-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A11219207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery