Healthcare Provider Details

I. General information

NPI: 1548345192
Provider Name (Legal Business Name): SRIPRIYA RAMAN M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 11/17/2022
Certification Date: 11/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE PEDIATRIC ENDOCRINOLOGY MAIL CODE R3
CLEVELAND OH
44193-6202
US

IV. Provider business mailing address

325 OSONA LN
MARS PA
16046-4062
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-5437
  • Fax: 216-636-6761
Mailing address:
  • Phone: 913-749-7301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberMD482983
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number2009030608
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number35C.000181
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: