Provider Demographics
NPI:1437465515
Name:SHANKAR RAMAN INC
Entity Type:Organization
Organization Name:SHANKAR RAMAN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANKAR
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:661-632-6963
Mailing Address - Street 1:PO BOX 9536
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93389-9536
Mailing Address - Country:US
Mailing Address - Phone:661-873-4756
Mailing Address - Fax:661-873-4758
Practice Address - Street 1:2828 H ST
Practice Address - Street 2:STE D
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1900
Practice Address - Country:US
Practice Address - Phone:661-873-4756
Practice Address - Fax:661-410-3222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-26
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADX881AMedicare PIN