Provider Demographics
NPI:1588629620
Name:RAMDEV, PRANAY T (MD)
Entity type:Individual
Prefix:DR
First Name:PRANAY
Middle Name:T
Last Name:RAMDEV
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:505 BEACHLAND BLVD
Mailing Address - Street 2:SUITE 1 PMB 263
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-1710
Mailing Address - Country:US
Mailing Address - Phone:772-567-8482
Mailing Address - Fax:772-567-8478
Practice Address - Street 1:960 37TH PL STE 104
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6586
Practice Address - Country:US
Practice Address - Phone:772-567-8482
Practice Address - Fax:772-567-8478
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-20
Last Update Date:2022-01-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME870312086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL05363OtherBLUE CROSS BLUE SHIELD
FL262761200Medicaid
FLH53248Medicare UPIN
FL05363OtherBLUE CROSS BLUE SHIELD