Provider Demographics
NPI:1922294453
Name:IBERDEMAJ, RAME D (MD)
Entity Type:Individual
Prefix:DR
First Name:RAME
Middle Name:D
Last Name:IBERDEMAJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1000 E ALMOND AVE
Mailing Address - Street 2:102
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-5693
Mailing Address - Country:US
Mailing Address - Phone:559-673-5657
Mailing Address - Fax:559-549-9736
Practice Address - Street 1:1000 E ALMOND AVE
Practice Address - Street 2:102
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-5693
Practice Address - Country:US
Practice Address - Phone:559-673-5657
Practice Address - Fax:559-549-9736
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2013-09-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY244781173000000X
AZ37724208600000X
CAA112001208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No173000000XOther Service ProvidersLegal Medicine