Provider Demographics
NPI:1710112545
Name:RAMCHANDANI, LIPI (MD, MS)
Entity Type:Individual
Prefix:
First Name:LIPI
Middle Name:
Last Name:RAMCHANDANI
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2714 HIGHWAY 88
Mailing Address - Street 2:
Mailing Address - City:ST ANTHONY VILLAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55418-3266
Mailing Address - Country:US
Mailing Address - Phone:612-873-7201
Mailing Address - Fax:
Practice Address - Street 1:2714 HIGHWAY 88
Practice Address - Street 2:
Practice Address - City:ST ANTHONY VILLAGE
Practice Address - State:MN
Practice Address - Zip Code:55418-3266
Practice Address - Country:US
Practice Address - Phone:612-873-7201
Practice Address - Fax:612-873-1950
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-22
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN54750207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine