Provider Demographics
NPI:1659378743
Name:THIMMIAH, RAMESH (MD)
Entity Type:Individual
Prefix:
First Name:RAMESH
Middle Name:
Last Name:THIMMIAH
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 1:138 ROCKDALE ROAD
Mailing Address - Street 2:
Mailing Address - City:FOLLANSBEE
Mailing Address - State:WV
Mailing Address - Zip Code:26037-1658
Mailing Address - Country:US
Mailing Address - Phone:304-527-1747
Mailing Address - Fax:304-527-3991
Practice Address - Street 1:138 ROCKDALE RD
Practice Address - Street 2:
Practice Address - City:FOLLANSBEE
Practice Address - State:WV
Practice Address - Zip Code:26037-1658
Practice Address - Country:US
Practice Address - Phone:304-527-1747
Practice Address - Fax:304-527-3991
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV18825207R00000X
PAMD 058785-L207R00000X
OH35071887T207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA015956410004Medicaid
OHP00314859OtherRR MEDICARE
WV0079926000Medicaid
OH2036237Medicaid
PAP00011253OtherRR MEDICARE
WVP00011254OtherRR MEDICARE
OH2036237Medicaid
PA015956410004Medicaid
OHP00314859OtherRR MEDICARE
WV0827969Medicare PIN
WV0827967Medicare PIN
WV4215291Medicare PIN