Provider Demographics
NPI:1891059408
Name:RAMOUTAR, VIRIN RAJIV NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:VIRIN
Middle Name:RAJIV NEIL
Last Name:RAMOUTAR
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 1:221 N OAK AVE
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-2437
Mailing Address - Country:US
Mailing Address - Phone:931-646-0880
Mailing Address - Fax:866-834-5618
Practice Address - Street 1:221 N OAK AVE
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-2437
Practice Address - Country:US
Practice Address - Phone:931-646-0880
Practice Address - Fax:866-834-5618
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN17468207R00000X
TN60017207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine