Healthcare Provider Details

I. General information

NPI: 1043856628
Provider Name (Legal Business Name): MEGAN RAMAIYA MSC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2019
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 18TH ST # PB-5250
SAN FRANCISCO CA
94143-4200
US

IV. Provider business mailing address

1001 POTRERO AVE # 6B
SAN FRANCISCO CA
94110-3518
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-7000
  • Fax:
Mailing address:
  • Phone: 478-318-6128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number36690
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: