Provider Demographics
NPI:1861974149
Name:PAUL, RAMAN PREET
Entity type:Individual
Prefix:MRS
First Name:RAMAN
Middle Name:PREET
Last Name:PAUL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 OAKDALE ROAD STE H2 #164
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355
Mailing Address - Country:US
Mailing Address - Phone:209-214-6186
Mailing Address - Fax:209-222-3154
Practice Address - Street 1:2505 EL VAQUERO DR
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-7948
Practice Address - Country:US
Practice Address - Phone:209-404-3898
Practice Address - Fax:209-222-3154
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-03
Last Update Date:2018-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)