Provider Demographics
NPI:1396180527
Name:RAMANATHAN, ROSHAN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ROSHAN
Middle Name:
Last Name:RAMANATHAN
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 ROCKVILLE PIKE
Mailing Address - Street 2:HFM 875
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1428
Mailing Address - Country:US
Mailing Address - Phone:301-796-1642
Mailing Address - Fax:
Practice Address - Street 1:1401 ROCKVILLE PIKE
Practice Address - Street 2:HFM 875
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1428
Practice Address - Country:US
Practice Address - Phone:301-796-1642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0063104207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease