MEDICARE: DR. SARAT CHANDRA RAMAN 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	207Q00000X	Family Medicine Physician	025881	LA

General Provider Information

NPI Number	:	1114944980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAT CHANDRA RAMAN M.D.

Provider Business Mailing Address
First Line	:	1511 6TH AVE
Second Line	:	SUITE 360
City	:	SEATTLE
State	:	WA
Zip	:	98101-1759
Country	:	US
Telephone Number	:	206-470-1902
Fax Number	:

Provider Business Practice Location Address
First Line	:	1511 6TH AVE
Second Line	:	SUITE 360
City	:	SEATTLE
State	:	WA
Zip	:	98101-1759
Country	:	US
Telephone Number	:	206-470-1902
Fax Number	:

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

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	10/28/2016

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