Provider Demographics
NPI:1427004977
Name:ASHTIANI, RAMIN BAHMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMIN
Middle Name:BAHMAN
Last Name:ASHTIANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12780 HESPERIA RD
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-5806
Mailing Address - Country:US
Mailing Address - Phone:760-946-5177
Mailing Address - Fax:760-946-5133
Practice Address - Street 1:12780 HESPERIA RD
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-5806
Practice Address - Country:US
Practice Address - Phone:760-946-5177
Practice Address - Fax:760-946-5133
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77527174400000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW13988AOtherMEDICARE PTAN
CADB3373OtherRAILROAD MEDICARE
CAW13988OtherMEDICARE PTAN
CAP00345378OtherRAILROAD MEDICARE
CADB3373OtherRAILROAD MEDICARE
CAHW13988BMedicare PIN
CAP00345378OtherRAILROAD MEDICARE
CAW13988OtherMEDICARE PTAN