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NPI Code Detail

MEDICARE: DR. ROHIT B RAM MD

MEDICARE: DR. ROHIT B RAM 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
12085R0202XDiagnostic Radiology PhysicianBP10042444TX
22085R0204XVascular & Interventional Radiology Physician12734225-1205UT

General Provider Information

NPI Number : 1235493693
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROHIT B RAM MD
Provider Business Mailing Address
First Line : PO BOX 30180
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84130-0180
Country : US
Telephone Number : 801-313-4110
Fax Number :
Provider Business Practice Location Address
First Line : 5295 S COMMERCE DR STE 550
Second Line :
City : MURRAY
State : UT
Zip : 84107-4736
Country : US
Telephone Number : 801-313-4110
Fax Number : 801-313-4128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2012
Last Update Date : 05/21/2025

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