Provider Demographics
NPI:1265473581
Name:BENJAMIN, RAMSIS K (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:RAMSIS
Middle Name:K
Last Name:BENJAMIN
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:2003 KOOTENAI HEALTH WAY
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-6051
Mailing Address - Country:US
Mailing Address - Phone:208-625-5085
Mailing Address - Fax:208-625-5731
Practice Address - Street 1:700 W IRONWOOD DR
Practice Address - Street 2:STE 158
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-2656
Practice Address - Country:US
Practice Address - Phone:208-625-5100
Practice Address - Fax:208-625-5101
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IDM135982084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
535789Medicare UPIN