Provider Demographics
NPI:1720222086
Name:RAMDATH, NAVINDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:NAVINDRA
Middle Name:
Last Name:RAMDATH
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:PO BOX 1718
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34220-1718
Mailing Address - Country:US
Mailing Address - Phone:941-524-2790
Mailing Address - Fax:
Practice Address - Street 1:2424 MANATEE AVE W STE 100
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-4954
Practice Address - Country:US
Practice Address - Phone:941-847-7920
Practice Address - Fax:941-757-2291
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2018-02165207Q00000X
SC81546207Q00000X
IN01081118A207Q00000X
DCMD046613207Q00000X
VA0101265910207Q00000X
FLME108244207Q00000X
FLTRN 13465207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIL813ZMedicare PIN