Provider Demographics
NPI:1073930814
Name:RATANSI, ZAYD
Entity Type:Individual
Prefix:
First Name:ZAYD
Middle Name:
Last Name:RATANSI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68257 CALLE AZTECA
Mailing Address - Street 2:
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240-6424
Mailing Address - Country:US
Mailing Address - Phone:321-537-2893
Mailing Address - Fax:
Practice Address - Street 1:68257 CALLE AZTECA
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92240-6424
Practice Address - Country:US
Practice Address - Phone:321-537-2893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-409175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath