Provider Demographics
NPI:1962805580
Name:RAMLOGAN, GANESHRI
Entity type:Individual
Prefix:
First Name:GANESHRI
Middle Name:
Last Name:RAMLOGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5315 LORILAWN DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-8775
Mailing Address - Country:US
Mailing Address - Phone:407-408-7683
Mailing Address - Fax:
Practice Address - Street 1:5315 LORILAWN DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-8775
Practice Address - Country:US
Practice Address - Phone:407-408-7683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-28
Last Update Date:2014-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health