Provider Demographics
NPI:1457622003
Name:RAMANATH, ROHIT GOUREE (MD)
Entity Type:Individual
Prefix:
First Name:ROHIT
Middle Name:GOUREE
Last Name:RAMANATH
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 1:619 OSIO LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-1809
Mailing Address - Country:US
Mailing Address - Phone:201-337-7941
Mailing Address - Fax:
Practice Address - Street 1:619 OSIO LN
Practice Address - Street 2:
Practice Address - City:FRANKLIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07417-1809
Practice Address - Country:US
Practice Address - Phone:201-337-7941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-13
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT53349208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice