MEDICARE: PRIYA RAMANI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	01060190	IN
2	207RR0500X	Rheumatology Physician	ME117906	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000519500	OTHER	ANTHEM
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093779712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRIYA RAMANI M.D.

Provider Business Mailing Address
First Line	:	3180 CURLEW RD UNIT 205
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-2629
Country	:	US
Telephone Number	:	813-852-0012
Fax Number	:	813-818-9988

Provider Business Practice Location Address
First Line	:	3180 CURLEW RD UNIT 205
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-2629
Country	:	US
Telephone Number	:	813-852-0012
Fax Number	:	813-818-9988

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2006
Last Update Date	:	02/10/2022

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Directions to “ PRIYA RAMANI M.D.” Practice Location

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