Provider Demographics
NPI:1982679585
Name:RAMI, PARAG M (MD)
Entity Type:Individual
Prefix:DR
First Name:PARAG
Middle Name:M
Last Name:RAMI
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 1:3805 E BELL RD STE 3100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2136
Mailing Address - Country:US
Mailing Address - Phone:602-494-3656
Mailing Address - Fax:602-867-3862
Practice Address - Street 1:14155 N 83RD AVE STE 136
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-5652
Practice Address - Country:US
Practice Address - Phone:623-847-3884
Practice Address - Fax:623-404-3805
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ330432085R0202X, 2085R0204X
CAA1024532085R0204X
IN01067581A2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1Z7077OtherHEALTH NET OF AZ
AZAZ0761870OtherBCBSAZ
AZ871831Medicaid
AZ1Z7077OtherHEALTH NET OF AZ
AZ871831Medicaid
AZP00149131Medicare PIN
IN063280BBBBMedicare PIN