Healthcare Provider Details

I. General information

NPI: 1285613042
Provider Name (Legal Business Name): A.ANANTH RAMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 09/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1704 PITTSBURGH ST
CHESWICK PA
15024-1526
US

IV. Provider business mailing address

3903 SHADOWOOD CT
ALLISON PARK PA
15101-3163
US

V. Phone/Fax

Practice location:
  • Phone: 724-274-4320
  • Fax: 724-274-4332
Mailing address:
  • Phone: 724-274-4320
  • Fax: 724-274-4332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD036960Y
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: