Healthcare Provider Details

I. General information

NPI: 1013918903
Provider Name (Legal Business Name): MURLI K RAMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 12/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 TOLLGATE RD BRIGHAM & WOMEN'S CARDIOVASCULAR ASSOCIATES AT CNE
WARWICK RI
02886-0288
US

IV. Provider business mailing address

455 TOLL GATE RD
WARWICK RI
02886-2759
US

V. Phone/Fax

Practice location:
  • Phone: 401-681-4996
  • Fax: 401-921-6569
Mailing address:
  • Phone: 401-273-0641
  • Fax: 401-273-2919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD16883
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD16883
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: