Provider Demographics
NPI:1649426172
Name:KURDI, RAMY M (DO)
Entity type:Individual
Prefix:MR
First Name:RAMY
Middle Name:M
Last Name:KURDI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 S BALLENGER HWY
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3638
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4 COLUMBUS AVE
Practice Address - Street 2:SUITE 160
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-6457
Practice Address - Country:US
Practice Address - Phone:989-377-4477
Practice Address - Fax:989-894-6181
Is Sole Proprietor?:No
Enumeration Date:2008-08-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101017790207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1649426172Medicaid
FK1576935OtherDEA
FK1576935OtherDEA