Provider Demographics
NPI:1568402527
Name:RAM, MICHAEL H (CRNA)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:H
Last Name:RAM
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:1 INDEPENDENCE PT
Mailing Address - Street 2:STE. 212
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4545
Mailing Address - Country:US
Mailing Address - Phone:864-797-6306
Mailing Address - Fax:864-797-6198
Practice Address - Street 1:701 GROVE RD
Practice Address - Street 2:2ND FLOOR ANESTHESIA DEPT.
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-5611
Practice Address - Country:US
Practice Address - Phone:864-455-7111
Practice Address - Fax:864-455-6441
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SCAPRN1366367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC576007863OtherCIGNA
SC576007863OtherBCBS
SC20031911OtherSELECT HEALTH GROUP
SC576007863OtherBLUE CHOICE
SC576007863OtherAETNA
SCAN0962Medicaid
SC430060707OtherMEDICARE RAILROAD
SC576007863OtherUHC
SC20013303OtherINDIVIDUAL SELECT HEALTH
SCAN0962Medicaid