Provider Demographics
NPI:1659318822
Name:RAMADAS, HOLENARSIPUR S (MD)
Entity Type:Individual
Prefix:MR
First Name:HOLENARSIPUR
Middle Name:S
Last Name:RAMADAS
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 1:25 OFFICE PARK DR
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013
Mailing Address - Country:US
Mailing Address - Phone:513-844-1000
Mailing Address - Fax:513-896-3727
Practice Address - Street 1:25 OFFICE PARK DR
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013
Practice Address - Country:US
Practice Address - Phone:513-844-1000
Practice Address - Fax:513-896-3727
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK35046287R208600000X
OH35046287R2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
020033046OtherRAILROAD MEDICARE
4820708OtherHUMANA CHOICE CARE
282400OtherAMERIGROUP
KY64862832Medicaid
311474851OtherHUMANA
4820707OtherHUMANA CHOICE CARE
OH0465321Medicaid
0641352OtherAETNA
311474851026OtherCARESOURCE
000000020995OtherANTHEM
1700913OtherUNITED HEALTHCARE
OH0465321Medicaid
KY64862832Medicaid