Provider Demographics
NPI:1649217597
Name:RAMNATH, BHAGWATH R (MD)
Entity Type:Individual
Prefix:DR
First Name:BHAGWATH
Middle Name:R
Last Name:RAMNATH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1806 N PINE ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-5202
Mailing Address - Country:US
Mailing Address - Phone:954-474-0110
Mailing Address - Fax:954-424-9859
Practice Address - Street 1:1806 N PINE ISLAND RD
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-5202
Practice Address - Country:US
Practice Address - Phone:954-474-0110
Practice Address - Fax:954-424-9859
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 41728173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE59888Medicare UPIN
FL94093Medicare ID - Type Unspecified