Healthcare Provider Details

I. General information

NPI: 1477992535
Provider Name (Legal Business Name): DR. RANJANI VENKATARAMANI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2013
Last Update Date: 05/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 LOMAS BLVD NE # 10-6000
ALBUQUERQUE NM
87106
US

IV. Provider business mailing address

9500 EUCLID AVE # J4-331
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-1113
  • Fax:
Mailing address:
  • Phone: 267-984-7625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA143700
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberMD2018-0978
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: