Provider Demographics
NPI:1326177536
Name:RAMANATHAN, P KASI (MD)
Entity Type:Individual
Prefix:
First Name:P
Middle Name:KASI
Last Name:RAMANATHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2940 N MCCORD RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-1753
Mailing Address - Country:US
Mailing Address - Phone:419-842-3000
Mailing Address - Fax:419-842-3048
Practice Address - Street 1:2940 N MCCORD RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-1753
Practice Address - Country:US
Practice Address - Phone:419-842-3000
Practice Address - Fax:419-842-3048
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.090243207RC0000X, 207RI0011X
MI4301081312207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH06792OtherPARAMOUNT
OH2759948Medicaid
P00751125OtherRAILROAD MEDICARE
OH4213878Medicare PIN
OH4213871Medicare PIN
N23450026Medicare PIN
OHP00422396Medicare PIN
0N23450Medicare PIN
OH4258181Medicare PIN
MIMI1635008Medicare PIN
P00751125OtherRAILROAD MEDICARE
OH4213874Medicare PIN
OH4213877Medicare PIN
OH4213876Medicare PIN
OH4213879Medicare PIN
OH4213873Medicare PIN
OH4213872Medicare PIN