Provider Demographics
NPI:1982769980
Name:MELVANI, RAMESH PITAMBERDAS (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMESH
Middle Name:PITAMBERDAS
Last Name:MELVANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:344 SHERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60526-1967
Mailing Address - Country:US
Mailing Address - Phone:708-579-3773
Mailing Address - Fax:708-579-2833
Practice Address - Street 1:344 SHERWOOD RD
Practice Address - Street 2:
Practice Address - City:LA GRANGE PARK
Practice Address - State:IL
Practice Address - Zip Code:60526-1967
Practice Address - Country:US
Practice Address - Phone:708-579-3773
Practice Address - Fax:708-579-2833
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-051033207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine