Provider Demographics
NPI:1013301605
Name:RAMADORAI, ANAND (DO)
Entity Type:Individual
Prefix:DR
First Name:ANAND
Middle Name:
Last Name:RAMADORAI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 N NORTHWEST HWY STE 303
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-1460
Mailing Address - Country:US
Mailing Address - Phone:847-294-5160
Mailing Address - Fax:
Practice Address - Street 1:1550 N NORTHWEST HWY STE 303
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1460
Practice Address - Country:US
Practice Address - Phone:847-294-5160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-23
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.144013207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology