Provider Demographics
NPI:1568574770
Name:RAMOS, RICARDO A (MD)
Entity Type:Individual
Prefix:
First Name:RICARDO
Middle Name:A
Last Name:RAMOS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5514 CORPORATE DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64507-7752
Mailing Address - Country:US
Mailing Address - Phone:816-271-1291
Mailing Address - Fax:816-271-4062
Practice Address - Street 1:5514 CORPORATE DR
Practice Address - Street 2:SUITE 150
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64507-7752
Practice Address - Country:US
Practice Address - Phone:816-271-1291
Practice Address - Fax:816-271-4062
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2017-10-26
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Provider Licenses
StateLicense IDTaxonomies
MO2004007613207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO203715016Medicaid
MO10001696000OtherCOMMUNITY HEALTH PLAN
MO10001696000OtherCOMMUNITY HEALTH PLAN
MOI18403Medicare UPIN