Provider Demographics
NPI:1588695530
Name:RAMADAN, SOHEIR S (MD)
Entity type:Individual
Prefix:DR
First Name:SOHEIR
Middle Name:S
Last Name:RAMADAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:380 DAVIDSON AVE
Mailing Address - Street 2:1
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4116
Mailing Address - Country:US
Mailing Address - Phone:732-560-8262
Mailing Address - Fax:732-560-1622
Practice Address - Street 1:380 DAVIDSON AVE
Practice Address - Street 2:1
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-4116
Practice Address - Country:US
Practice Address - Phone:732-560-8262
Practice Address - Fax:732-560-1622
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04311400208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3365506Medicaid
NJ3365506Medicaid