Provider Demographics
NPI:1346334646
Name:RAMADAN, NADIM (DPM)
Entity Type:Individual
Prefix:DR
First Name:NADIM
Middle Name:
Last Name:RAMADAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3278
Mailing Address - Country:US
Mailing Address - Phone:203-701-0252
Mailing Address - Fax:203-876-0937
Practice Address - Street 1:234 BROAD ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460
Practice Address - Country:US
Practice Address - Phone:203-701-0252
Practice Address - Fax:203-876-0937
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0699213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery