Provider Demographics
NPI:1497949481
Name:RAMI, AMANDA JANE (BCABA MABA)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:JANE
Last Name:RAMI
Suffix:
Gender:F
Credentials:BCABA MABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23921 RUSSELL RD
Mailing Address - Street 2:
Mailing Address - City:BAY VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44140-2842
Mailing Address - Country:US
Mailing Address - Phone:440-668-5342
Mailing Address - Fax:440-471-0067
Practice Address - Street 1:23921 RUSSELL RD
Practice Address - Street 2:
Practice Address - City:BAY VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44140-2842
Practice Address - Country:US
Practice Address - Phone:440-668-5342
Practice Address - Fax:440-471-0067
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-01
Last Update Date:2007-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0-04-1458174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist