Provider Demographics
NPI:1750671426
Name:PAI, RAMANATH P
Entity Type:Individual
Prefix:
First Name:RAMANATH
Middle Name:P
Last Name:PAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 ATALAN TRL
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-4128
Mailing Address - Country:US
Mailing Address - Phone:419-991-3003
Mailing Address - Fax:
Practice Address - Street 1:865 ATALAN TRL
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-4128
Practice Address - Country:US
Practice Address - Phone:419-991-3003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-14
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0413811208600000X
MI4301033212208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery