Provider Demographics
NPI:1497769616
Name:NARAYANAN RAMESH MD PA
Entity Type:Organization
Organization Name:NARAYANAN RAMESH MD PA
Other - Org Name:GREEN RIDGE BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NARAYANAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMESH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-683-6202
Mailing Address - Street 1:610 PROFESSIONAL DR
Mailing Address - Street 2:STE 255
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-3413
Mailing Address - Country:US
Mailing Address - Phone:240-683-6202
Mailing Address - Fax:240-683-6203
Practice Address - Street 1:610 PROFESSIONAL DR
Practice Address - Street 2:STE 255
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-3413
Practice Address - Country:US
Practice Address - Phone:240-683-6202
Practice Address - Fax:240-683-6203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCS288OtherBCBS
DCS288OtherBCBS