Healthcare Provider Details
I. General information
NPI: 1437007952
Provider Name (Legal Business Name): LOGAN RAMJIT DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
BROOKE ARMY MEDICAL CENTER INTERNAL MEDICINE RESIDENCY 3551 ROGER BROOKE DR., JBSA-FORT SAM HOUSTON
APO AA
78234-4504
US
IV. Provider business mailing address
BROOKE ARMY MEDICAL CENTER INTERNAL MEDICINE RESIDENCY 3551 ROGER BROOKE DR., JBSA-FORT SAM HOUSTON
APO AA
78234-4504
US
V. Phone/Fax
- Phone: 210-292-3410
- Fax: 210-292-7868
- Phone: 210-292-3410
- Fax: 210-292-7868
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171000000X |
| Taxonomy | Military Health Care Provider |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: