Provider Demographics
NPI:1417926973
Name:RAMOS, SUSAN RUTH (MD)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:RUTH
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 MILL STREET
Mailing Address - Street 2:203
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1436
Mailing Address - Country:US
Mailing Address - Phone:775-323-8050
Mailing Address - Fax:775-323-1538
Practice Address - Street 1:890 MILL ST
Practice Address - Street 2:203
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1442
Practice Address - Country:US
Practice Address - Phone:775-323-8050
Practice Address - Fax:775-323-1538
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3596174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist