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NPI Code Detail

MEDICARE: DR. VYASA RAMCHARAN D.M.D.

MEDICARE: DR. VYASA RAMCHARAN D.M.D.
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
11223S0112XOral and Maxillofacial Surgery (Dentist)DN11869FL

General Provider Information

NPI Number : 1083755029
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VYASA RAMCHARAN D.M.D.
Provider Business Mailing Address
First Line : 2081 DUNDEE DR
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-4104
Country : US
Telephone Number : 407-599-1221
Fax Number : 407-599-1220
Provider Business Practice Location Address
First Line : 2081 DUNDEE DR
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-4104
Country : US
Telephone Number : 407-599-1221
Fax Number : 407-599-1220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2007
Last Update Date : 07/09/2007

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