Provider Demographics
NPI:1265692479
Name:RAMLAWI, BASEL (MD)
Entity type:Individual
Prefix:DR
First Name:BASEL
Middle Name:
Last Name:RAMLAWI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E LANCASTER AVE STE 356
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3433
Mailing Address - Country:US
Mailing Address - Phone:281-979-1780
Mailing Address - Fax:
Practice Address - Street 1:100 E LANCASTER AVE STE 356
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3433
Practice Address - Country:US
Practice Address - Phone:281-979-1780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003072174400000X
TXN4690174400000X
VA0101259359208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00829654OtherMEDICARE RAILROAD
TXP01170499OtherRR MEDICARE
TX1265692479OtherBLUE CROSS BLUE SHIELD
TX208426102Medicaid
TX208426103Medicaid
TX208426101Medicaid
TXTXB145708Medicare PIN
TXP00829654OtherMEDICARE RAILROAD
TXP01170499OtherRR MEDICARE
TXTXB145709Medicare PIN