MEDICARE: VENKATESH G RAMAIAH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician	25125	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	770002895	OTHER	AZ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	WCSKQ	OTHER	AZ	SUN HEALTH GROUP #

General Provider Information

NPI Number	:	1063413904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VENKATESH G RAMAIAH MD

Provider Business Mailing Address
First Line	:	7285 E EARLL DR BLDG C
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7230
Country	:	US
Telephone Number	:	480-912-4747
Fax Number	:	480-422-2690

Provider Business Practice Location Address
First Line	:	7285 E EARLL DR BLDG C
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7230
Country	:	US
Telephone Number	:	480-912-4747
Fax Number	:	480-422-2690

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	07/17/2020

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Directions to “ VENKATESH G RAMAIAH MD” Practice Location

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