Provider Demographics
NPI:1518045707
Name:SUBASH RAMCHAND PC
Entity Type:Organization
Organization Name:SUBASH RAMCHAND PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUBASH
Authorized Official - Middle Name:C
Authorized Official - Last Name:RAMCHAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-298-4038
Mailing Address - Street 1:6934 WILLIAMS RD
Mailing Address - Street 2:650
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-3080
Mailing Address - Country:US
Mailing Address - Phone:716-298-4038
Mailing Address - Fax:716-298-0935
Practice Address - Street 1:6934 WILLIAMS RD
Practice Address - Street 2:650
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-3080
Practice Address - Country:US
Practice Address - Phone:716-298-4038
Practice Address - Fax:716-298-0935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00622968Medicaid
NYBA0957Medicare ID - Type Unspecified
NYB36024Medicare UPIN