Provider Demographics
NPI:1588830947
Name:SAMPATH RAMAKRISHNAN MD., INC.
Entity Type:Organization
Organization Name:SAMPATH RAMAKRISHNAN MD., INC.
Other - Org Name:BAY AREA HOME CARE MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMPATH
Authorized Official - Middle Name:K
Authorized Official - Last Name:RAMAKRISHNAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-519-0409
Mailing Address - Street 1:2970 GARDEN CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-8365
Mailing Address - Country:US
Mailing Address - Phone:925-519-0409
Mailing Address - Fax:925-485-4590
Practice Address - Street 1:2970 GARDEN CREEK CIR
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-8365
Practice Address - Country:US
Practice Address - Phone:925-519-0409
Practice Address - Fax:925-485-4590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA073586261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ27952ZOtherPTAN