Provider Demographics
NPI:1578529640
Name:RAMAS, MERCEDES E (MD)
Entity Type:Individual
Prefix:
First Name:MERCEDES
Middle Name:E
Last Name:RAMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1932 NILES CORTLAND RD NE STE X
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-1055
Mailing Address - Country:US
Mailing Address - Phone:330-306-5371
Mailing Address - Fax:330-306-5311
Practice Address - Street 1:1932 NILES CORTLAND RD NE STE X
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-1055
Practice Address - Country:US
Practice Address - Phone:330-306-5371
Practice Address - Fax:330-306-5311
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV202922085R0202X
OH35.0836902085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3004089000Medicaid
WV001720230OtherMTN STATE BCBS
WVRA4093872Medicare ID - Type Unspecified