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General NPI Number Information
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NPI Number | 1881647857
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Entity Type | Individual
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Provider Name | RAMESH NAYYAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 02/01/2010
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Provider Practice Location Address
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Address Line | 2580 RHODE ISLAND AVE
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City | FORT PIERCE
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State | FL
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Zip | 34947-4777
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Country | US
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Telephone | 772-461-4834
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Fax |
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Provider Business Mailing Address
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Address Line | 2580 RHODE ISLAND AVE
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City | FORT PIERCE
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State | FL
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Zip | 34947-4777
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Country | US
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Telephone | 772-461-4834
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME30367
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License Number State | FL
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