Provider Demographics
NPI:1851823124
Name:RAMESH, MADHUMATI
Entity Type:Individual
Prefix:MS
First Name:MADHUMATI
Middle Name:
Last Name:RAMESH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 S BROADWAY
Mailing Address - Street 2:UNIT 200-119
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-1558
Mailing Address - Country:US
Mailing Address - Phone:503-688-0603
Mailing Address - Fax:
Practice Address - Street 1:303 S BROADWAY
Practice Address - Street 2:UNIT 200-119
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-1558
Practice Address - Country:US
Practice Address - Phone:503-688-0603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator