Provider Demographics
NPI:1851680888
Name:RAM, GITA (MD)
Entity Type:Individual
Prefix:
First Name:GITA
Middle Name:
Last Name:RAM
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:100 E PENN SQ
Mailing Address - Street 2:9TH FL
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3323
Mailing Address - Country:US
Mailing Address - Phone:267-425-9258
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:3550 MARKET ST
Practice Address - Street 2:CHOP CARE NETWORK @ MARKET ST - ALLERGY & IMMUNOLOGY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-3329
Practice Address - Country:US
Practice Address - Phone:215-590-2178
Practice Address - Fax:215-590-4619
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2014-10-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMT196251207K00000X
TXBP10030770208000000X
PAMD440721207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics