Provider Demographics
NPI:1619973617
Name:PATEL RAMANAN AND ASSOCIATES P.A.
Entity Type:Organization
Organization Name:PATEL RAMANAN AND ASSOCIATES P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SURESH
Authorized Official - Middle Name:A
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-645-9650
Mailing Address - Street 1:3575 OLD WASHINGTON RD
Mailing Address - Street 2:STE A
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-3269
Mailing Address - Country:US
Mailing Address - Phone:301-645-9650
Mailing Address - Fax:301-645-0774
Practice Address - Street 1:3575 OLD WASHINGTON RD
Practice Address - Street 2:STE A
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-3269
Practice Address - Country:US
Practice Address - Phone:301-645-9650
Practice Address - Fax:301-645-0774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-23
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD46478207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD666LMedicare PIN