Provider Demographics
NPI:1801809587
Name:RAMIREZ, PETER PAUL (MD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:PAUL
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7845 OAKWOOD ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061
Mailing Address - Country:US
Mailing Address - Phone:410-761-6660
Mailing Address - Fax:410-768-2469
Practice Address - Street 1:7845 OAKWOOD ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061
Practice Address - Country:US
Practice Address - Phone:410-761-6660
Practice Address - Fax:410-768-2469
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD47137207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
552965400OtherMAMD
1306848OtherUNAT
32712OtherNY
10111730OtherCIGN
10168OtherHFRE
KX44PEOtherBSMD
16707011OtherUNIT
2911OtherHELI
367LOtherMBMD
W715OtherBSDC
18249OtherTRAV
4676763OtherAET
MD800021200Medicaid
838805OtherMAMS
18249OtherTRAV
2911OtherHELI