Provider Demographics
NPI:1699704577
Name:RAMPERSAUD, VISHNU EARLE (MD)
Entity type:Individual
Prefix:DR
First Name:VISHNU
Middle Name:EARLE
Last Name:RAMPERSAUD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3144 HEWITT AVE APT 143
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-4959
Mailing Address - Country:US
Mailing Address - Phone:301-437-8339
Mailing Address - Fax:301-871-1273
Practice Address - Street 1:4649 NANNIE HELEN BURROUGHS AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-3662
Practice Address - Country:US
Practice Address - Phone:202-398-4700
Practice Address - Fax:202-398-4701
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCDC9106207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC2967-0001OtherCAREFIRST BCBS
DC181555Medicare ID - Type Unspecified
DC2967-0001OtherCAREFIRST BCBS