Provider Demographics
NPI:1598235376
Name:ANITA R RAMAIAH MD
Entity Type:Organization
Organization Name:ANITA R RAMAIAH MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:R
Authorized Official - Last Name:RAMAIAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-600-0600
Mailing Address - Street 1:12991 N 130TH WAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-3548
Mailing Address - Country:US
Mailing Address - Phone:480-600-0600
Mailing Address - Fax:
Practice Address - Street 1:1111 E MCDOWELL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2612
Practice Address - Country:US
Practice Address - Phone:602-839-4262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-05
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty