Healthcare Provider Details

I. General information

NPI: 1093499394
Provider Name (Legal Business Name): HAMSA RAMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2023
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7258 E CORONADO RD
SCOTTSDALE AZ
85257-1407
US

IV. Provider business mailing address

1442 MINGARY AVE
FAYETTEVILLE NC
28306-7810
US

V. Phone/Fax

Practice location:
  • Phone: 602-299-7475
  • Fax:
Mailing address:
  • Phone: 919-889-4733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: