Provider Demographics
NPI:1376756700
Name:RAMAN, ARUN (MB,BS)
Entity Type:Individual
Prefix:DR
First Name:ARUN
Middle Name:
Last Name:RAMAN
Suffix:
Gender:M
Credentials:MB,BS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3100 NE 28TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:LINCOLN CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97367-4524
Mailing Address - Country:US
Mailing Address - Phone:541-994-8114
Mailing Address - Fax:541-994-5679
Practice Address - Street 1:3100 NE 28TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:LINCOLN CITY
Practice Address - State:OR
Practice Address - Zip Code:97367-4524
Practice Address - Country:US
Practice Address - Phone:541-994-8114
Practice Address - Fax:541-994-5679
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD158613208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery