Provider Demographics
NPI:1245608090
Name:RAM CLINIC, PC
Entity Type:Organization
Organization Name:RAM CLINIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRABHU
Authorized Official - Middle Name:S
Authorized Official - Last Name:RAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-333-3444
Mailing Address - Street 1:1200 PROVIDENCE HWY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-5017
Mailing Address - Country:US
Mailing Address - Phone:781-333-3444
Mailing Address - Fax:781-680-7121
Practice Address - Street 1:1200 PROVIDENCE HWY
Practice Address - Street 2:SUITE 210
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-5017
Practice Address - Country:US
Practice Address - Phone:781-333-3444
Practice Address - Fax:781-680-7121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-10
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty