Provider Demographics
NPI:1831116714
Name:RAMOS, ADRIAN ERIC (MD)
Entity Type:Individual
Prefix:MR
First Name:ADRIAN
Middle Name:ERIC
Last Name:RAMOS
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 1:3125 CONANT AVE
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-6527
Mailing Address - Country:US
Mailing Address - Phone:209-524-1668
Mailing Address - Fax:209-524-0014
Practice Address - Street 1:3125 CONANT AVE
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-6527
Practice Address - Country:US
Practice Address - Phone:209-524-1668
Practice Address - Fax:209-524-0014
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG69699207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F18789Medicare UPIN