Provider Demographics
NPI:1578727905
Name:RAMSAHAI, PREMA L (DO)
Entity Type:Individual
Prefix:
First Name:PREMA
Middle Name:L
Last Name:RAMSAHAI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10647 BIG BEND RD
Mailing Address - Street 2:STE 212
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33579-7176
Mailing Address - Country:US
Mailing Address - Phone:813-844-4600
Mailing Address - Fax:813-844-1960
Practice Address - Street 1:10647 BIG BEND RD
Practice Address - Street 2:STE 212
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33579-7176
Practice Address - Country:US
Practice Address - Phone:813-844-4600
Practice Address - Fax:813-844-1960
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS11257207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine