Healthcare Provider Details

I. General information

NPI: 1316269640
Provider Name (Legal Business Name): DHANVENDRAN RAMAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2010
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6089 N 1ST ST STE 104
FRESNO CA
93710-5464
US

IV. Provider business mailing address

8839 N CEDAR AVE STE B4-18
FRESNO CA
93720-1832
US

V. Phone/Fax

Practice location:
  • Phone: 559-479-5441
  • Fax: 559-234-0007
Mailing address:
  • Phone: 914-703-0966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number66072-20
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC-193673
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: