MEDICARE: RAMESH BAKANE 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	207RP1001X	Pulmonary Disease Physician	0101238658	VA
2	208800000X	Urology Physician	0101238658	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00285528	OTHER	VA	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780615377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMESH BAKANE MD

Provider Business Mailing Address
First Line	:	2460 LEE HWY N
Second Line	:	SUITE 5
City	:	PULASKI
State	:	VA
Zip	:	24301-2335
Country	:	US
Telephone Number	:	540-980-3914
Fax Number	:	540-980-9595

Provider Business Practice Location Address
First Line	:	2460 LEE HWY N
Second Line	:	SUITE 5
City	:	PULASKI
State	:	VA
Zip	:	24301-2335
Country	:	US
Telephone Number	:	540-980-3914
Fax Number	:	540-980-9595

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

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	03/20/2008

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Directions to “ RAMESH BAKANE MD” Practice Location

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