Provider Demographics
NPI:1942268677
Name:BANWATT, RAMNIK SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMNIK
Middle Name:SINGH
Last Name:BANWATT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4428 COMMERCIAL WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-1966
Mailing Address - Country:US
Mailing Address - Phone:352-597-1011
Mailing Address - Fax:352-597-7803
Practice Address - Street 1:15215 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:BROOKSVILL
Practice Address - State:FL
Practice Address - Zip Code:34613-6072
Practice Address - Country:US
Practice Address - Phone:352-799-0049
Practice Address - Fax:352-799-0115
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0072309207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL254612400Medicaid
FL38094ZMedicare PIN
FL254612400Medicaid