Healthcare Provider Details

I. General information

NPI: 1467547711
Provider Name (Legal Business Name): RAMON L ANEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3815 N 38TH ST
TACOMA WA
98407-6122
US

IV. Provider business mailing address

3815 N 38TH ST
TACOMA WA
98407-6122
US

V. Phone/Fax

Practice location:
  • Phone: 253-514-8831
  • Fax:
Mailing address:
  • Phone: 253-514-8831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD60036716
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number326053
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD167859
License Number StateOR
# 4
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMD60036716
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number691
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: