MEDICARE: SHEKAR RAMAN 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	2084N0400X	Neurology Physician	32437	IA
2	2084N0400X	Neurology Physician	0101251196	VA

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
2	43746	OTHER	IA	WELLMARK BCBS

General Provider Information

NPI Number	:	1366435661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEKAR RAMAN MD

Provider Business Mailing Address
First Line	:	200 HAWKINS DR
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52242-1009
Country	:	US
Telephone Number	:	319-356-7235
Fax Number	:	319-356-4505

Provider Business Practice Location Address
First Line	:	1201 BROAD ROCK BLVD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23249-1009
Country	:	US
Telephone Number	:	804-675-5000
Fax Number	:

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

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	10/01/2021

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Directions to “ SHEKAR RAMAN MD” Practice Location

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