Healthcare Provider Details

I. General information

NPI: 1992645907
Provider Name (Legal Business Name): KEVIN RAM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 HOSPITAL AVE
DANBURY CT
06810-6077
US

IV. Provider business mailing address

24 HOSPITAL AVE
DANBURY CT
06810-6077
US

V. Phone/Fax

Practice location:
  • Phone: 203-739-8105
  • Fax: 203-749-9092
Mailing address:
  • Phone: 203-739-8105
  • Fax: 203-749-9092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: