Provider Demographics
NPI:1326492596
Name:RAMDIAL, FAIZAL RAJESH NICHOLAS (MD)
Entity Type:Individual
Prefix:MR
First Name:FAIZAL
Middle Name:RAJESH NICHOLAS
Last Name:RAMDIAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1611 NW 12 AVENUE
Mailing Address - Street 2:HOLTZ BUILDING #6006
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136
Mailing Address - Country:US
Mailing Address - Phone:305-585-6042
Mailing Address - Fax:305-545-6016
Practice Address - Street 1:740 S LIMESTONE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-218-2509
Practice Address - Fax:859-323-3499
Is Sole Proprietor?:No
Enumeration Date:2016-04-14
Last Update Date:2022-06-08
Deactivation Date:2016-11-30
Deactivation Code:
Reactivation Date:2017-03-13
Provider Licenses
StateLicense IDTaxonomies
390200000X
KY561492080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program