MEDICARE: SAMPATH K RAMANAVARAPU 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	207RC0000X	Cardiovascular Disease Physician	35062927	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	060044166	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104856236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMPATH K RAMANAVARAPU MD

Provider Business Mailing Address
First Line	:	PO BOX 638269
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-0001
Country	:	US
Telephone Number	:	330-722-8707
Fax Number	:	330-723-5679

Provider Business Practice Location Address
First Line	:	970 E WASHINGTON ST STE 2E
Second Line	:
City	:	MEDINA
State	:	OH
Zip	:	44256-2181
Country	:	US
Telephone Number	:	330-722-8707
Fax Number	:	330-723-5679

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

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	09/18/2023

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Directions to “ SAMPATH K RAMANAVARAPU MD” Practice Location

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