Provider Demographics
NPI:1144220781
Name:RATNASABAPATHY, RAMALINGAM (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMALINGAM
Middle Name:
Last Name:RATNASABAPATHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RAMALINGAM
Other - Middle Name:
Other - Last Name:RATHNSABAPATHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:400 N STEPHANIE ST STE 300
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-6692
Mailing Address - Country:US
Mailing Address - Phone:702-952-3350
Mailing Address - Fax:702-952-3365
Practice Address - Street 1:2460 W HORIZON RIDGE PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-2648
Practice Address - Country:US
Practice Address - Phone:702-822-2000
Practice Address - Fax:702-938-2232
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8620207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100503907Medicaid
AZ115214Medicaid
NVP00320599OtherRAILROAD MEDICARE
AZ115214Medicaid
NVG68841Medicare UPIN
NVP00320599OtherRAILROAD MEDICARE