Provider Demographics
NPI:1073720058
Name:KAMATH, RAM N (MD)
Entity Type:Individual
Prefix:DR
First Name:RAM
Middle Name:N
Last Name:KAMATH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RAMCHANDRA
Other - Middle Name:N
Other - Last Name:KAMATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11528 HOLMES RD APT 102
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-3892
Mailing Address - Country:US
Mailing Address - Phone:816-922-2133
Mailing Address - Fax:816-922-4698
Practice Address - Street 1:KC-VAMC , 4801 LINWOOD BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64128
Practice Address - Country:US
Practice Address - Phone:816-922-2133
Practice Address - Fax:816-922-4698
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE21313207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine