Provider Demographics
NPI:1265020549
Name:RAMNARINE, MOHAN (MD, MHA)
Entity Type:Individual
Prefix:
First Name:MOHAN
Middle Name:
Last Name:RAMNARINE
Suffix:
Gender:M
Credentials:MD, MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5940 NW 19TH CT
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33313-4042
Mailing Address - Country:US
Mailing Address - Phone:954-882-6195
Mailing Address - Fax:
Practice Address - Street 1:5940 NW 19TH CT
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-4042
Practice Address - Country:US
Practice Address - Phone:954-882-6195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12455310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility