Provider Demographics
NPI:1619155900
Name:TURK, RAMI JOHN (MD)
Entity Type:Individual
Prefix:
First Name:RAMI
Middle Name:JOHN
Last Name:TURK
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 1:99 MONTECILLO RD
Mailing Address - Street 2:DEPARTMENT OF CARDIOLOGY
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-3308
Mailing Address - Country:US
Mailing Address - Phone:415-444-4620
Mailing Address - Fax:707-331-1275
Practice Address - Street 1:99 MONTECILLO RD
Practice Address - Street 2:DEPARTMENT OF CARDIOLOGY
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-3308
Practice Address - Country:US
Practice Address - Phone:415-444-4620
Practice Address - Fax:707-331-1275
Is Sole Proprietor?:No
Enumeration Date:2008-02-08
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA91879207UN0901X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00779181OtherRAILROAD MEDICARE
CA00A918790OtherBLUE SHIELD OF CALIFORNIA
CA1619155900Medicaid
CACN499TMedicare PIN
CAP00779181OtherRAILROAD MEDICARE
CACN499WMedicare PIN
CA1619155900Medicaid
CACN499XMedicare PIN