=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649501446
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TANVI SINGH RAMAN M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/19/2010
-----------------------------------------------------
Last Update Date | 05/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 175 N JACKSON AVE STE 200
-----------------------------------------------------
City | SAN JOSE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95116-1909
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 408-384-7160
-----------------------------------------------------
Fax | 408-384-7161
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2637 SHADELANDS DR
-----------------------------------------------------
City | WALNUT CREEK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94598-2512
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 925-948-8154
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | A110538
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------