Provider Demographics
NPI:1447231204
Name:RAMANI, LAXMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:LAXMAN
Middle Name:
Last Name:RAMANI
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 1:350 COUNTRY CLUB DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-9084
Mailing Address - Country:US
Mailing Address - Phone:770-474-1919
Mailing Address - Fax:770-474-7832
Practice Address - Street 1:350 COUNTRY CLUB DR
Practice Address - Street 2:SUITE D
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-9084
Practice Address - Country:US
Practice Address - Phone:770-474-1919
Practice Address - Fax:770-474-7832
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA042399207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00712093DMedicaid
GA16BDTVKMedicare ID - Type UnspecifiedMEDICARE PROVIDER ID
GA00712093DMedicaid