Provider Demographics
NPI:1609293638
Name:RATNASOMA, DULIP M (MD)
Entity Type:Individual
Prefix:
First Name:DULIP
Middle Name:M
Last Name:RATNASOMA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 947407
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30394-7407
Mailing Address - Country:US
Mailing Address - Phone:941-917-2600
Mailing Address - Fax:941-917-7884
Practice Address - Street 1:1700 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3509
Practice Address - Country:US
Practice Address - Phone:941-917-4896
Practice Address - Fax:941-917-6884
Is Sole Proprietor?:No
Enumeration Date:2014-03-27
Last Update Date:2022-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101264365207RS0012X, 208M00000X
FLME153731208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine