Provider Demographics
NPI:1629270616
Name:ATTARAN, ROBERT RAMAK (MD, FACC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:RAMAK
Last Name:ATTARAN
Suffix:
Gender:M
Credentials:MD, FACC
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:RAMAK
Other - Last Name:ATTARAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, FACC
Mailing Address - Street 1:226 MILL HILL AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06610-2826
Mailing Address - Country:US
Mailing Address - Phone:203-339-6499
Mailing Address - Fax:
Practice Address - Street 1:226 MILL HILL AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06610-2826
Practice Address - Country:US
Practice Address - Phone:203-339-6499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-03
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT052939207RI0011X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003620100Medicaid
FL003620100Medicaid