Provider Demographics
NPI:1801829270
Name:TREHAN, RAMNEESH (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMNEESH
Middle Name:
Last Name:TREHAN
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 1:23 AUTUMN LN
Mailing Address - Street 2:
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-1680
Mailing Address - Country:US
Mailing Address - Phone:207-838-6225
Mailing Address - Fax:845-302-8700
Practice Address - Street 1:80 ELM ST APT 6
Practice Address - Street 2:
Practice Address - City:MALONE
Practice Address - State:NY
Practice Address - Zip Code:12953-1524
Practice Address - Country:US
Practice Address - Phone:207-838-6225
Practice Address - Fax:845-237-0077
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2230532084P0800X
MEMD159982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME290270099Medicaid
MEMM9421Medicare PIN
MEH62288Medicare UPIN
ME290270099Medicaid