Provider Demographics
NPI:1336651041
Name:DAVOOD, RAMSINA (DN)
Entity Type:Individual
Prefix:
First Name:RAMSINA
Middle Name:
Last Name:DAVOOD
Suffix:
Gender:F
Credentials:DN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3122 W EDDY ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-5616
Mailing Address - Country:US
Mailing Address - Phone:773-294-0837
Mailing Address - Fax:
Practice Address - Street 1:3122 W EDDY ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-5616
Practice Address - Country:US
Practice Address - Phone:773-294-0837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-03
Last Update Date:2017-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL181.000398172P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172P00000XOther Service ProvidersNaprapath