Provider Demographics
NPI:1356571079
Name:RAMANATH, VINAYAK (MD)
Entity type:Individual
Prefix:
First Name:VINAYAK
Middle Name:
Last Name:RAMANATH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6228 BRADLEY PARK DR
Mailing Address - Street 2:STE A
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-3605
Mailing Address - Country:US
Mailing Address - Phone:706-322-1486
Mailing Address - Fax:706-324-3419
Practice Address - Street 1:1300 LAFAYETTE PARKWAY
Practice Address - Street 2:STE D
Practice Address - City:LAGRANGE
Practice Address - State:GA
Practice Address - Zip Code:30241-2610
Practice Address - Country:US
Practice Address - Phone:706-882-2800
Practice Address - Fax:706-882-2860
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-15
Last Update Date:2014-07-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA071555207RN0300X
ALMD.32157207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology