Provider Demographics
NPI:1255960795
Name:SKAIK, RAMZI Y (MD, MBA, MHA)
Entity type:Individual
Prefix:DR
First Name:RAMZI
Middle Name:Y
Last Name:SKAIK
Suffix:
Gender:M
Credentials:MD, MBA, MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 E COURT AVE STE 434
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-9998
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:303 E COURT AVE STE 434
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-9998
Practice Address - Country:US
Practice Address - Phone:502-807-2114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-06
Last Update Date:2022-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QR1100X, 390200000X, 101YP2500X, 261QP2300X
INXXXXXXX3X261QR1100X, 101YP2500X, 261QP2300X, 390200000X
NJXXXXXXXXX390200000X, 101YP2500X
NJNJDCATEMP-032353101YP2500X, 261QP2300X
INCV2000037261QP2300X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1255960795Medicaid
IN1255960795Other01