Healthcare Provider Details

I. General information

NPI: 1093779712
Provider Name (Legal Business Name): PRIYA RAMANI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3180 CURLEW RD UNIT 205
OLDSMAR FL
34677-2629
US

IV. Provider business mailing address

3180 CURLEW RD UNIT 205
OLDSMAR FL
34677-2629
US

V. Phone/Fax

Practice location:
  • Phone: 813-852-0012
  • Fax: 813-818-9988
Mailing address:
  • Phone: 813-852-0012
  • Fax: 813-818-9988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number01060190
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberME117906
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: