Provider Demographics
NPI:1659449049
Name:DAISY P. RAMOS, M.D, PC
Entity type:Organization
Organization Name:DAISY P. RAMOS, M.D, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:P
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-649-2330
Mailing Address - Street 1:1559 W BIG BEAVER RD
Mailing Address - Street 2:BLDG E
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-3525
Mailing Address - Country:US
Mailing Address - Phone:248-649-2330
Mailing Address - Fax:248-649-6584
Practice Address - Street 1:1559 W BIG BEAVER RD
Practice Address - Street 2:BLDG E
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-3525
Practice Address - Country:US
Practice Address - Phone:248-649-2330
Practice Address - Fax:248-649-6584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI07-0F3-33460OtherBCBS OF MICHIGAN