Provider Demographics
NPI:1679983738
Name:RAMSOOK, RYAN RAVI (MD)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:RAVI
Last Name:RAMSOOK
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 1:547 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-0619
Mailing Address - Country:US
Mailing Address - Phone:850-633-4877
Mailing Address - Fax:850-633-4879
Practice Address - Street 1:547 N MONROE ST
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-0619
Practice Address - Country:US
Practice Address - Phone:850-633-4877
Practice Address - Fax:850-633-4879
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-29
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY290769208100000X
FL137976208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation