Provider Demographics
NPI:1922193598
Name:RAMSY, MAGED G (MD)
Entity Type:Individual
Prefix:
First Name:MAGED
Middle Name:G
Last Name:RAMSY
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 1:2720 BRISTOL ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704
Mailing Address - Country:US
Mailing Address - Phone:888-499-9303
Mailing Address - Fax:714-557-2251
Practice Address - Street 1:2720 BRISTOL ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704
Practice Address - Country:US
Practice Address - Phone:888-499-9303
Practice Address - Fax:714-557-2251
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC52502208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2030484Medicaid
OH2030484Medicaid
OHRA0888731Medicare ID - Type Unspecified