Provider Demographics
NPI:1992799522
Name:RAM, NAND (MD)
Entity type:Individual
Prefix:DR
First Name:NAND
Middle Name:
Last Name:RAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 OAKMONT DR
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3960
Mailing Address - Country:US
Mailing Address - Phone:215-292-6231
Mailing Address - Fax:
Practice Address - Street 1:112 OAKMONT DR
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3960
Practice Address - Country:US
Practice Address - Phone:215-292-6231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034786E207R00000X
NJ25MA05991800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6024602Medicaid
508146SK3Medicare PIN
E27381Medicare UPIN
077356Medicare Oscar/Certification