Healthcare Provider Details

I. General information

NPI: 1255176699
Provider Name (Legal Business Name): AMIT RAMRATTAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2024
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 1ST ST SW
ROCHESTER MN
55905-0001
US

IV. Provider business mailing address

11100 N 115TH ST APT 272
SCOTTSDALE AZ
85259-4009
US

V. Phone/Fax

Practice location:
  • Phone: 901-448-2510
  • Fax: 901-448-7836
Mailing address:
  • Phone: 901-579-7648
  • Fax:

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 StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: