Provider Demographics
NPI:1033791488
Name:BRANDON RHEUMATOLOGY, LLC
Entity Type:Organization
Organization Name:BRANDON RHEUMATOLOGY, LLC
Other - Org Name:TAMPA RHEUMATOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PRIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-852-0012
Mailing Address - Street 1:3180 CURLEW RD UNIT 205
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-2629
Mailing Address - Country:US
Mailing Address - Phone:813-852-0012
Mailing Address - Fax:813-818-9988
Practice Address - Street 1:3180 CURLEW RD UNIT 205
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-2629
Practice Address - Country:US
Practice Address - Phone:813-852-0012
Practice Address - Fax:813-818-9988
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRANDON RHEUMATOLOGY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-26
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty