Healthcare Provider Details

I. General information

NPI: 1841333150
Provider Name (Legal Business Name): ASHA RAMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 01/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 FREEPORT ROAD
BLAWNOX PA
15238
US

IV. Provider business mailing address

307 FREEPORT ROAD
BLAWNOX PA
15238
US

V. Phone/Fax

Practice location:
  • Phone: 412-826-0500
  • Fax: 412-828-1142
Mailing address:
  • Phone: 412-826-0500
  • Fax: 412-828-1142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD 026117E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: