MEDICARE: DR. PRANAY T. RAMDEV MD

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	2086S0129X	Vascular Surgery Physician	ME87031	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	05363	OTHER	FL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588629620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRANAY T. RAMDEV MD

Provider Business Mailing Address
First Line	:	505 BEACHLAND BLVD
Second Line	:	SUITE 1 PMB 263
City	:	VERO BEACH
State	:	FL
Zip	:	32963-1710
Country	:	US
Telephone Number	:	772-567-8482
Fax Number	:	772-567-8478

Provider Business Practice Location Address
First Line	:	960 37TH PL STE 104
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-6586
Country	:	US
Telephone Number	:	772-567-8482
Fax Number	:	772-567-8478

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

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	01/06/2022

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