Provider Demographics
NPI:1093779712
Name:RAMANI, PRIYA (MD)
Entity Type:Individual
Prefix:
First Name:PRIYA
Middle Name:
Last Name:RAMANI
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 1:3180 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
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01060190207RR0500X
FLME117906207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL100366800Medicaid
IN200801540Medicaid
000000519500OtherANTHEM