Provider Demographics
NPI:1235325614
Name:RAMOS, TAMMY KAUZLARICH (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:KAUZLARICH
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1301 SOUTH 75TH STREET
Mailing Address - Street 2:SUITE 230
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114
Mailing Address - Country:US
Mailing Address - Phone:402-390-6060
Mailing Address - Fax:402-390-6694
Practice Address - Street 1:1301 SOUTH 75TH STREET
Practice Address - Street 2:SUITE 230
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124
Practice Address - Country:US
Practice Address - Phone:402-390-6060
Practice Address - Fax:402-390-6694
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE206912086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI11098Medicare PIN
NE277079Medicare PIN
NEF39229Medicare UPIN