Provider Demographics
NPI:1588669501
Name:KALDAS, RAMI S (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMI
Middle Name:S
Last Name:KALDAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 S NICOLET RD
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54914-8273
Mailing Address - Country:US
Mailing Address - Phone:920-886-2299
Mailing Address - Fax:
Practice Address - Street 1:701 S NICOLET RD
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-8273
Practice Address - Country:US
Practice Address - Phone:920-886-2299
Practice Address - Fax:920-702-9347
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI37813207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI32248200Medicaid
WIG33875Medicare UPIN
WI000271525Medicare ID - Type Unspecified
WI32248200Medicaid