Healthcare Provider Details

I. General information

NPI: 1043657984
Provider Name (Legal Business Name): RAMI S MAAROUF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2013
Last Update Date: 09/14/2020
Certification Date: 09/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 E MARSHALL ST SURG: GENERAL SURGERY CLINIC
RICHMOND VA
23298-5051
US

IV. Provider business mailing address

PO BOX 980695 WEST HOSPITAL 7TH FLOOR, DEPARTMENT OF ANESTHESIOLOGY
RICHMOND VA
23298
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-7391
  • Fax: 804-828-0191
Mailing address:
  • Phone: 804-828-2207
  • Fax: 804-828-8300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number0101257373
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0101257373
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: