Provider Demographics
NPI:1407427685
Name:GHUMMAN, RAMANDEEP (NP)
Entity Type:Individual
Prefix:DR
First Name:RAMANDEEP
Middle Name:
Last Name:GHUMMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:DR
Other - First Name:RAMAN
Other - Middle Name:
Other - Last Name:GHUMMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:1593 YANCEYVILLE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-6950
Mailing Address - Country:US
Mailing Address - Phone:336-230-0402
Mailing Address - Fax:
Practice Address - Street 1:1593 YANCEYVILLE ST STE 200
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-6950
Practice Address - Country:US
Practice Address - Phone:336-230-0402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5014691363L00000X
NCGHUM-XC7AD363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health