Provider Demographics
NPI:1912044371
Name:R A M MEDICAL INC
Entity Type:Organization
Organization Name:R A M MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.P.M.
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDHIR
Authorized Official - Middle Name:A
Authorized Official - Last Name:LAL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:561-586-8313
Mailing Address - Street 1:604 LUCERNE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-3821
Mailing Address - Country:US
Mailing Address - Phone:561-586-8313
Mailing Address - Fax:561-586-8314
Practice Address - Street 1:604 LUCERNE AVE
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-3821
Practice Address - Country:US
Practice Address - Phone:561-586-8313
Practice Address - Fax:561-586-8314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3175213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00278683OtherMEDICARE RAILROAD PIN
FLU79667Medicare UPIN
FLP00278683OtherMEDICARE RAILROAD PIN
FL5183100002Medicare NSC