Provider Demographics
NPI:1952310070
Name:TREHAN, RAM SWARUP (MD)
Entity Type:Individual
Prefix:DR
First Name:RAM
Middle Name:SWARUP
Last Name:TREHAN
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:PO BOX 749488
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-9488
Mailing Address - Country:US
Mailing Address - Phone:239-432-8331
Mailing Address - Fax:813-321-1296
Practice Address - Street 1:10750 COLUMBIA PIKE STE 501
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4460
Practice Address - Country:US
Practice Address - Phone:301-593-9035
Practice Address - Fax:301-593-9036
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD33224207RH0003X
DCMD16397207RX0202X
MDD0033224207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC830008746OtherRAILROAD MEDICARE
D73873Medicare UPIN
DC00A662G99Medicare PIN