RAMANATHAN, JANAKI N (MD)

Provider Demographics

• NPI: 1275611873
• Name: RAMANATHAN, JANAKI N (MD)
• Entity Type: Individual
• First Name: JANAKI
• Middle Name: N
• Last Name: RAMANATHAN
• Gender: F
• Credentials: MD
• Mailing Address - Street 1: PO BOX 6102
• Mailing Address - City: NOVATO
• Mailing Address - State: CA
• Mailing Address - Zip Code: 94948-6102
• Mailing Address - Country: US
• Mailing Address - Phone: 415-884-3418
• Mailing Address - Fax: 415-883-3406
• Practice Address - Street 1: 2351 CLAY ST STE 100
• Practice Address - City: SAN FRANCISCO
• Practice Address - State: CA
• Practice Address - Zip Code: 94115-1931
• Practice Address - Country: US
• Practice Address - Phone: 415-600-3143
• Practice Address - Fax: 415-600-3123
• Is Sole Proprietor?: No
• Enumeration Date: 2006-11-01
• Last Update Date: 2020-09-23

Provider Licenses

State	License ID	Taxonomies
NJ	25MA08403700	2085R0202X
NY	248102	2085R0202X
OH	25.000109	2085R0202X
OK	25945	2085R0202X
WA	49037	2085R0202X
TX	K7874	2085R0202X
NE	24315	2085R0202X
MT	11524	2085R0202X
AK	MEDS6218	2085R0202X
AZ	38047	2085R0202X
CO	46252	2085R0202X
NV	12619	2085R0202X
IL	036.119210	2085R0202X
AK	4516	2085R0202X
CA	A80398	2085R0202X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	2085R0202X	Allopathic & Osteopathic Physicians	Radiology	Diagnostic Radiology

Provider Identifiers

State	Identifier ID	ID Type	Issuer
NV	1275611873	Medicaid
AZ	320447	Medicaid
WA	8947270	Other	L&I CVCP
WA	0229781	Other	L & I
NE	1275611873	Medicaid
WA	8505539	Medicaid
CA	00A803980	Medicaid
OK	200215450	Medicaid
WA	5578RA	Other	REGENCE BLUE SHIELD
NJ	0168289	Medicaid
CO	19800070	Medicaid
CA	P00075447	Other	RAILROAD MEDICARE
WA	8505539	Medicaid
CA	BA003O	Medicare PIN
CA	BA003T	Medicare PIN
AZ	Z121690	Medicare PIN
CA	BA003K	Medicare PIN
CA	BA003H	Medicare PIN
CA	BA003G	Medicare PIN
CA	DJ026W	Medicare PIN
CA	BA003D	Medicare PIN
CA	BA003A	Medicare PIN
WA	8878239	Medicare PIN
NV	1275611873	Medicaid
CA	BA003I	Medicare PIN
CA	BA003B	Medicare PIN
NE	281658	Medicare PIN
NJ	131355TEO	Medicare PIN
	H83433	Medicare UPIN
CA	00A803980	Medicaid
NJ	0168289	Medicaid
CA	BA003N	Medicare PIN
CA	BA003R	Medicare PIN
CA	DJ026V	Medicare PIN
CA	BA003E	Medicare PIN
CA	BA003C	Medicare PIN
WA	0229781	Other	L & I
AZ	320447	Medicaid
CA	BA003M	Medicare PIN