Provider Demographics
NPI:1265599377
Name:RAMRUP, RAMONA NALINI (MD)
Entity type:Individual
Prefix:DR
First Name:RAMONA
Middle Name:NALINI
Last Name:RAMRUP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 LINWOOD DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-6122
Mailing Address - Country:US
Mailing Address - Phone:870-530-2756
Mailing Address - Fax:
Practice Address - Street 1:2420 LINWOOD DR
Practice Address - Street 2:SUITE 3
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-6122
Practice Address - Country:US
Practice Address - Phone:870-530-2756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-5016207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR162967001Medicaid
AR5N785OtherARKANSAS BCBS