Provider Demographics
NPI:1598968844
Name:RAMRATTAN, SHAMSUNDAR (DO)
Entity Type:Individual
Prefix:DR
First Name:SHAMSUNDAR
Middle Name:
Last Name:RAMRATTAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28504 COLHARY CT
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91387-5316
Mailing Address - Country:US
Mailing Address - Phone:661-252-7580
Mailing Address - Fax:
Practice Address - Street 1:28504 COLHARY CT
Practice Address - Street 2:
Practice Address - City:CANYON COUNTRY
Practice Address - State:CA
Practice Address - Zip Code:91387-5316
Practice Address - Country:US
Practice Address - Phone:661-252-7580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2OA6991207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine