Provider Demographics
NPI:1740456573
Name:STEVEN M. RAMSARAN, MD
Entity type:Organization
Organization Name:STEVEN M. RAMSARAN, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:RAMSARAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-943-1996
Mailing Address - Street 1:2111 LEXINGTON AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62439-2085
Mailing Address - Country:US
Mailing Address - Phone:618-943-1996
Mailing Address - Fax:618-943-6138
Practice Address - Street 1:2111 LEXINGTON AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:LAWRENCEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62439-2085
Practice Address - Country:US
Practice Address - Phone:618-943-1996
Practice Address - Fax:618-943-6138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036096273261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center