Provider Demographics
NPI:1356460638
Name:RAMDAYAL, INDRA B (C-ARNP)
Entity Type:Individual
Prefix:
First Name:INDRA
Middle Name:B
Last Name:RAMDAYAL
Suffix:
Gender:F
Credentials:C-ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11350 MCCORMICK RD
Mailing Address - Street 2:EXECUTIVE PLAZA 1, STE. 501
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-4605
Mailing Address - Country:US
Mailing Address - Phone:703-914-8000
Mailing Address - Fax:352-344-3822
Practice Address - Street 1:1503 BUENOS AIRES BLVD STE 150
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32159-6823
Practice Address - Country:US
Practice Address - Phone:352-750-5882
Practice Address - Fax:352-750-9947
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3197242363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLKK540OtherMEDICARE