Healthcare Provider Details

I. General information

NPI: 1023497872
Provider Name (Legal Business Name): ALEXANDER RAMOS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2015
Last Update Date: 09/10/2021
Certification Date: 09/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 ROCKLEDGE DR STE 610
BETHESDA MD
20817-1844
US

IV. Provider business mailing address

6410 ROCKLEDGE DR STE 610
BETHESDA MD
20817-1844
US

V. Phone/Fax

Practice location:
  • Phone: 301-530-9744
  • Fax: 301-530-0046
Mailing address:
  • Phone: 301-530-9744
  • Fax: 301-530-0046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number008272539
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberD0091675
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: