Provider Demographics
NPI:1407367774
Name:RAMANAN, SAMANTHA MERAZ (ND)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:MERAZ
Last Name:RAMANAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 S KENWOOD LN
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-3846
Mailing Address - Country:US
Mailing Address - Phone:760-318-5048
Mailing Address - Fax:
Practice Address - Street 1:3930 E RAY RD STE 150
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-7174
Practice Address - Country:US
Practice Address - Phone:480-482-7055
Practice Address - Fax:480-499-5256
Is Sole Proprietor?:No
Enumeration Date:2017-10-13
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ171651175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath