Provider Demographics
NPI:1306032123
Name:RAMLOGAN, STEVE KRISHNA (IDC)
Entity Type:Individual
Prefix:MR
First Name:STEVE
Middle Name:KRISHNA
Last Name:RAMLOGAN
Suffix:
Gender:M
Credentials:IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 CORBIN ST APT C4
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-7851
Mailing Address - Country:US
Mailing Address - Phone:619-808-9890
Mailing Address - Fax:
Practice Address - Street 1:503 CORBIN ST APT C4
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-7851
Practice Address - Country:US
Practice Address - Phone:619-808-9890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-16
Last Update Date:2007-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman