Provider Demographics
NPI:1831157023
Name:RAMAN, NANDINI (MD)
Entity type:Individual
Prefix:MS
First Name:NANDINI
Middle Name:
Last Name:RAMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3920 S ALMA SCHOOL RD
Mailing Address - Street 2:#8
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-4497
Mailing Address - Country:US
Mailing Address - Phone:480-855-8700
Mailing Address - Fax:480-855-8701
Practice Address - Street 1:3920 S ALMA SCHOOL RD
Practice Address - Street 2:#8
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-4497
Practice Address - Country:US
Practice Address - Phone:480-855-8700
Practice Address - Fax:480-855-8701
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28945207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ111919OtherMEDICARE ID
AZ55147Medicaid
AZH30486Medicare UPIN