Provider Demographics
NPI:1043658149
Name:RAMDIAL, SAVITRI (MD)
Entity Type:Individual
Prefix:
First Name:SAVITRI
Middle Name:
Last Name:RAMDIAL
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 1:4449 MEANDERING WAY
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5740
Mailing Address - Country:US
Mailing Address - Phone:506-441-5438
Mailing Address - Fax:552-307-4218
Practice Address - Street 1:4449 MEANDERING WAY
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5740
Practice Address - Country:US
Practice Address - Phone:850-644-1543
Practice Address - Fax:850-230-7421
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-11
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN18646207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL115761000Medicaid