Provider Demographics
NPI:1700872835
Name:RAMPP, RANDAL DON (MD)
Entity Type:Individual
Prefix:DR
First Name:RANDAL
Middle Name:DON
Last Name:RAMPP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1514 SPARTA ST
Mailing Address - Street 2:
Mailing Address - City:MC MINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-1317
Mailing Address - Country:US
Mailing Address - Phone:931-473-8400
Mailing Address - Fax:931-473-0620
Practice Address - Street 1:1514 SPARTA ST
Practice Address - Street 2:
Practice Address - City:MC MINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-1317
Practice Address - Country:US
Practice Address - Phone:931-473-8400
Practice Address - Fax:931-473-0620
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD27452207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0440403OtherUNITED HEALTHCARE
TN3017783OtherBLUE CROSS
3719411OtherGROUP MEDICARE CIGNA
110194119OtherRAILROAD MEDICARE
TN3092376Medicaid
3719411OtherGROUP MEDICARE CIGNA
0440403OtherUNITED HEALTHCARE