Provider Demographics
NPI:1518255801
Name:RAMDON, ANDRE RECORDOE (MD)
Entity Type:Individual
Prefix:
First Name:ANDRE
Middle Name:RECORDOE
Last Name:RAMDON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4301 W MARKHAM ST # 783
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-686-8000
Mailing Address - Fax:501-526-5148
Practice Address - Street 1:4110 OUTPATIENT CIRCLE
Practice Address - Street 2:OUTPATIENT CENTER, THIRD FLOOR
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-686-6176
Practice Address - Fax:501-686-5328
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-16880208600000X, 2086S0129X
PAMT199572208600000X
NY2957142086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery