Provider Demographics
NPI:1043221310
Name:RAMNAUTH, SUBHASH CHAND (MD)
Entity Type:Individual
Prefix:DR
First Name:SUBHASH
Middle Name:CHAND
Last Name:RAMNAUTH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:529 LAKEHURST RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-8043
Mailing Address - Country:US
Mailing Address - Phone:732-240-4466
Mailing Address - Fax:732-240-4451
Practice Address - Street 1:40 BEY LEA RD BLDG. B SUITE 202
Practice Address - Street 2:JERSEY SHORE SURGERY AND VEIN CENTER
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753
Practice Address - Country:US
Practice Address - Phone:732-240-4466
Practice Address - Fax:732-240-4451
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2181772086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1011310280001Medicaid
OHI08425Medicare UPIN
PA1011310280001Medicaid