Provider Demographics
NPI:1467547711
Name:ANEL, RAMON L (MD)
Entity Type:Individual
Prefix:
First Name:RAMON
Middle Name:L
Last Name:ANEL
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 1:3815 N 38TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-6122
Mailing Address - Country:US
Mailing Address - Phone:253-514-8831
Mailing Address - Fax:
Practice Address - Street 1:3815 N 38TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98407-6122
Practice Address - Country:US
Practice Address - Phone:253-514-8831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD167859207RC0200X
WAMD60036716207RN0300X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0240385OtherSTATE L&I
WAG8926177OtherMEDICARE PTAN
WA0249100OtherSTATE L&I
WAG8926177OtherMEDICARE PTAN
ND23352Medicare PIN